NPI | 1235136227 |
---|---|
Doing Business As | PROFESSIONAL HOME HEALTH OF SOUTHWEST LA |
Entity Type | Organization |
Authorized Contact | GREGORY LANCE SMITH Owner 318-448-0891 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 251E00000X Home Health (Licence: LA 25) |
Enumeration Date | 2005-07-05 |
Last Update Date | 2018-11-26 |