| NPI | 1851523898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA BENNETT Administrator 985-446-2075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: LA 20150) |
| Enumeration Date | 2009-08-09 |
| Last Update Date | 2009-08-09 |