| NPI | 1164586327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE D CHAMPAGNE Administrator 337-394-3840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |