NPI | 1235360397 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLL GORMAN Administrator 985-878-3848 |
Organization Subpart ? | No |
Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider (Licence: LA SIL 20189) |
Enumeration Date | 2009-08-06 |
Last Update Date | 2009-08-06 |