| NPI | 1992924658 |
|---|---|
| Doing Business As | EDNA MARIE |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA LANDRY HORNE Director Of Finance 318-797-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2022-06-13 |