| NPI | 1295871176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERMONICA A HAYNES Administrator 225-273-6224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant (Licence: LA PCA7010) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: LA RC6956) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |