| NPI | 1265563332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA DAISY Owner Director 225-931-3571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician Attendant Care Provider (Licence: LA 7934) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |