| NPI | 1003357880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN GIBSON Owner 318-377-5436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 305R00000X Preferred Provider Organization (Licence: LA 2203783050) | |
| 332U00000X Home Delivered Meals | |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2023-06-09 |