| NPI | 1285180158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES I MATHEWS Owner 337-315-9686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |