| NPI | 1104303411 |
|---|---|
| Former Legal Business Name | BROOKYS HAVEN |
| Entity Type | Organization |
| Authorized Contact | DIANE WILLIAMS Owner 318-423-1367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |