| NPI | 1295768075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA L JACKSON Owner 318-324-0048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: LA 10851) |
| Additional Taxonomies | 251E00000X Home Health (Licence: LA 2203781289) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2017-04-28 |