| NPI | 1922306950 |
|---|---|
| Doing Business As | FOUR SEASONS RESIDENTIAL CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | ROSS M PONTHIE Managing Member 318-443-8167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2011-02-28 |