NPI | 1851553689 |
---|---|
Entity Type | Organization |
Authorized Contact | TINA MICHELLE REYNOLDS Billing Bookkeeping 318-647-3691 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
Enumeration Date | 2008-07-02 |
Last Update Date | 2008-09-23 |