| NPI | 1689771008 |
|---|---|
| Doing Business As | LOUISIANA CNI - SOUTHPARK |
| Entity Type | Organization |
| Authorized Contact | TONI RIZZO General Manager 225-272-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: LA 893) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |