NPI | 1124295670 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERILYNNE TONI COTTLES Owner 318-238-5900 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: LA 16920) |
Additional Taxonomies | 251E00000X Home Health (Licence: LA 16920) |
302R00000X Health Maintenance Organization (Licence: LA 16920) | |
Enumeration Date | 2008-05-14 |
Last Update Date | 2008-05-14 |