NPI | 1649375726 |
---|---|
Entity Type | Organization |
Authorized Contact | CLINT PAUL GUILLOT Owner/Member 225-644-4853 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 804) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2020-08-22 |