| NPI | 1699147694 |
|---|---|
| Doing Business As | JO ELLEN SMITH CONVALESCENT CENTER |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS B BOULWARE Manager 318-658-9978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2016-01-02 |