| 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 |