Louisiana
Board of Licensing
Hosea Kevin Lyn
Medical
License number
OTA.200263
Date expires
02/28/2015
Class
Medical
Status
Active
Address
Shady Lake Nursing Home, 5976 Hwy 65 N, Lake Providence, LA 71254
louisianalicensing.com
ID 21983241
LAST UPDATED 2024-03-15 09:32:48 UTC
LAST UPDATED 2024-03-15 09:32:48 UTC