| NPI | 1184090227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE DOUGLAS CEO 225-270-6169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care (Licence: MS 07957011) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: MS 09603804) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |