| NPI | 1033772207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANESHA WILLIAMS Owner/Administrator 318-474-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2022-10-04 |