| NPI | 1255635611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMLYNN HARDY Owner 504-274-7537 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: LA 102800826) |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2013-05-31 |