| NPI | 1053038075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLISHA BARNHILL Commander 225-432-0498 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 251B00000X Case Management |
| 253Z00000X In Home Supportive Care | |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 332U00000X Home Delivered Meals | |
| 347C00000X Private Vehicle | |
| 372500000X Chore Provider | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2022-10-20 |