| 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 |