| NPI | 1578952727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH ELAINE WRUBLESKI Speech Language Pathologist 225-324-3174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 7007) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |