NPI | 1639334238 |
---|---|
Entity Type | Organization |
Authorized Contact | RONITA J CALHOUN Owner 318-537-0740 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: LA 14018) |
Enumeration Date | 2008-07-23 |
Last Update Date | 2008-07-23 |