| NPI | 1750503967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA FOSTER Administrator 225-638-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: LA ADHC 3000) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |