| NPI | 1639116056 |
|---|---|
| Doing Business As | CAMELOT LEISURE LIVING |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE D SCHAUF Administrator 318-757-2181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 164) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-08-22 |