| NPI | 1225293319 |
|---|---|
| Doing Business As | AT HOME ASSISTED CARE, LLC |
| Entity Type | Organization |
| Authorized Contact | JASON STEWART Administrator 318-807-0905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-08-29 |