| 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 |