| NPI | 1669690962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JEROI THOMAS Director 318-342-8404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: LA 6953) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |