| NPI | 1598011710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES G GLADNEY Managing Member 318-281-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2012-07-25 |