| NPI | 1043791411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANDA DOMANGO BROWN President/Personal Trainer 504-975-0815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |