| NPI | 1780610683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY BRIDGES Administrator 318-872-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: LA 474) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-08-22 |