NPI | 1639116098 |
---|---|
Doing Business As | TIMBERLAKE HEALTH CARE |
Entity Type | Organization |
Authorized Contact | VALERIE BINGHAM Administrator 318-368-3103 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 836) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2020-08-22 |