| NPI | 1700052958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN ADRIAN POE Owner Provider 337-526-6774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2024-12-18 |