| NPI | 1093901159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORIA SHELA PIERCE President 318-512-1257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: LA 7300) |
| Additional Taxonomies | 251S00000X (Licence: LA 7268) |
| 251S00000X (Licence: LA 1012025) | |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2024-10-29 |