| NPI | 1588737159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R. TAYLOR President 318-742-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |