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 |