| NPI | 1144402256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKY P BONVILLAIN Fiscal Services Director 985-447-6214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care (Licence: LA RC6792) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |