| NPI | 1598986358 |
|---|---|
| Doing Business As | 38TH STREET COMMUNITY HOME |
| Entity Type | Organization |
| Authorized Contact | JAMES R RICHARDSON CEO 318-445-6470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |