NPI | 1891792537 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY A. CAUBARREAUX Administrator 318-253-6553 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: LA 351) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2020-08-22 |