NPI | 1639126873 |
---|---|
Doing Business As | HERITAGE MANOR OF BOSSIER |
Entity Type | Organization |
Authorized Contact | KENNETH USSERY VP 407-571-1550 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 877) |
Enumeration Date | 2006-05-30 |
Last Update Date | 2023-11-27 |