| NPI | 1639548993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMELIA CLAYTON Owner/Executive Director 318-703-2217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: LA RN138162) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |