| NPI | 1114048220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE REVADER Owner/Administrator 504-328-1627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: LA 9790) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2015-03-27 |