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 |