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 |