Louisiana
Board of Licensing
King Amber Williams
Medical
License number
OTA.200171
Date expires
05/31/2015
Class
Medical
Status
Active
Address
Shady Lake Nursing Home, 5976 Hwy 65 North, Lake Providence, LA 51254
louisianalicensing.com
ID 21983651
LAST UPDATED 2024-02-28 06:33:55 UTC
LAST UPDATED 2024-02-28 06:33:55 UTC