| NPI | 1700904570 |
|---|---|
| Doing Business As | EDWIN DRIVE GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | CAROLYN DERANGER Office Manager 337-363-2969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: LA 917) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |