| NPI | 1164005906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY MARTIN Owner 985-960-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2024-05-23 |