| NPI | 1578115143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL WHITE MILLER Manager 225-262-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-15 |