| NPI | 1164797627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY DARTEZ Executive Director 337-477-7194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: LA 12803) |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2023-09-06 |