| NPI | 1316164536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA DAISY Owner Director 225-292-9628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician Attendant Care Provider (Licence: LA 7934) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |