| NPI | 1619079787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN JEAN DESSELLES Owner 318-442-6435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-08-22 |