NPI | 1194784173 |
---|---|
Entity Type | Organization |
Authorized Contact | JEAN HOOGENDYK Owner Administrator 318-741-1009 |
Organization Subpart ? | No |
Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy (Licence: LA 4428 IR) |
Enumeration Date | 2006-03-20 |
Last Update Date | 2007-08-30 |