| NPI | 1275749012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTIE JOHNSON Owner 985-748-8007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: LA 12257) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |