| NPI | 1184115156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEASHA MAIDEN CEO 225-603-6889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |