NPI | 1639316185 |
---|---|
Entity Type | Organization |
Authorized Contact | MARKUS BOSLEY Administrator 318-938-2848 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: LA pca 15080) |
Enumeration Date | 2009-01-20 |
Last Update Date | 2009-01-20 |