NPI | 1225280928 |
---|---|
Entity Type | Organization |
Authorized Contact | ELLIS GUILLORYS CEO 337-207-5393 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
302R00000X Health Maintenance Organization | |
Enumeration Date | 2008-10-14 |
Last Update Date | 2008-10-14 |