| NPI | 1053104430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALIAH SHILEEN COOK Administrator 318-286-2043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2025-05-27 |
| Last Update Date | 2025-06-02 |