| NPI | 1083743041 |
|---|---|
| Former Legal Business Name | NORTHWEST LA INCS, LLC |
| Entity Type | Organization |
| Authorized Contact | EUNICE WILKERSON Director 318-636-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: LA 11761) |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2023-09-21 |