| NPI | 1114089356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE M GUILLORY Director 334-562-1373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251E00000X Home Health (Licence: LA SIL 10463) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2023-08-29 |