| NPI | 1689892796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ANN DAVIS Owner 318-791-2878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: LA PCA12298) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |