| NPI | 1306055124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBINETT WEBB Executive Director 318-681-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251T00000X PACE Provider Organization (Licence: LA 9633 SIL) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2017-12-18 |