NPI | 1912922147 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILIP PEPITON Administrator 318-922-3404 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 240) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2011-03-16 |