| NPI | 1326180696 |
|---|---|
| Doing Business As | OLOL COMPREHENSIVE CHRONIC CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | ROBERT C DAVIDGE CEO 225-765-8802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |