| NPI | 1992786396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M COOK Administrator 985-898-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 690) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2011-06-02 |