| NPI | 1780630590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN B PARKER Administrator 318-281-5188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 291) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-08-27 |