NPI | 1215157698 |
---|---|
Entity Type | Organization |
Authorized Contact | LEE ANN HAGGENS Owner 225-687-8137 |
Organization Subpart ? | No |
Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider (Licence: LA 7162) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2008-06-16 |