| NPI | 1245013432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATELANN POWELL Owner 318-235-2875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-08-14 |