| NPI | 1003034919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUS JOHNSON Executive Director 318-352-5961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: LA 10952) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |