NPI | 1699101675 |
---|---|
Entity Type | Organization |
Authorized Contact | LEANN CRAIG Owner/Manager 225-252-7633 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
Enumeration Date | 2013-09-23 |
Last Update Date | 2016-07-21 |