NPI | 1114687563 |
---|---|
Entity Type | Organization |
Authorized Contact | DESTINY L LANDRY CEO 337-230-3116 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
Enumeration Date | 2021-12-27 |
Last Update Date | 2024-04-05 |