NPI | 1831202720 |
---|---|
Entity Type | Organization |
Authorized Contact | DERRICK FRAZIER CEO 318-283-3601 |
Organization Subpart ? | No |
Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: LA 167) |
Enumeration Date | 2006-08-16 |
Last Update Date | 2019-05-17 |