| NPI | 1699969055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS G. ROY Program Director 337-367-6210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: LA pca 11257) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |