NPI | 1871583435 |
---|---|
Entity Type | Organization |
Authorized Contact | DANNY E JARVIS Administrator 337-234-2459 |
Organization Subpart ? | Yes |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: LA 200) |
Enumeration Date | 2005-10-25 |
Last Update Date | 2008-04-15 |