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 |