| NPI | 1841287869 |
|---|---|
| Doing Business As | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER SKILLED NURSING FACILITY |
| Entity Type | Organization |
| Authorized Contact | ROBERT D. DAVIDGE Chief Executive Officer 225-765-7702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2020-08-22 |