| NPI | 1669533261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA FAYE SMITH President 318-649-0653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: LA 10414) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-06-23 |