| NPI | 1659923100 |
|---|---|
| Other Name | THE BLAKE AT BOSSIER CITY |
| Entity Type | Organization |
| Authorized Contact | RENEE MATHENY Executive Director 318-752-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |