| NPI | 1275304909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASEY ALEXANDER Admin 337-324-8506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-09-03 |