| NPI | 1306390588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRESTON THOMAS GOODSON Assistant Administrator 318-281-4925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider (Licence: LA HC0008121) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2022-04-01 |