| NPI | 1609861780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDYE LOUISE DAVIS Nursing Facility Administrator 318-323-9013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 41) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2009-12-28 |