| NPI | 1265754246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JON HILL Wellness Coordinator/VP Operations 985-876-8172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: LA RN088069) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |