| NPI | 1689943078 |
|---|---|
| Doing Business As | CAMELOT BROOKSIDE |
| Entity Type | Organization |
| Authorized Contact | NICOLE HOWARD C.O.O. 318-445-6470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2011-12-14 |