| NPI | 1831366152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNIE MCVAY Owner 225-987-0031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: LA PCA 14099) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |