| NPI | 1629007497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY HAUVER Director Of Operations 985-643-0307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 925) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-08-22 |