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 |