| NPI | 1164623286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTIE LEE JOHNSON Owner 985-748-8007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: LA 9780) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |