| NPI | 1700052958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN ADRIAN POE Owner 337-526-6774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: LA RN051555APO1864) |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2020-04-14 |