| NPI | 1659587327 |
|---|---|
| Other Name | CONVENTION COMMUNITY HOME |
| Entity Type | Organization |
| Authorized Contact | COLLIS TEMPLE, JR. Executive Director 225-383-9139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: LA 487) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |