| NPI | 1740346147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMIE WOODWARD Business Manager 318-728-2089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 355) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2008-04-09 |