| NPI | 1275084824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA SANFORD Owner/President 225-332-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider (Licence: LA 2203782754) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |