| NPI | 1871750356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR T HAIR Administrator 337-334-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: LA 256) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |