| NPI | 1780907360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR C RICHARD Provider 318-518-6091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282E00000X Long Term Care Hospital (Licence: LA 202291) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-04-28 |