| 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 |