NPI | 1326558867 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANNAH HICKERSON Owner 225-367-1649 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: LA 2203782592) |
Additional Taxonomies | 251E00000X Home Health |
Enumeration Date | 2017-10-11 |
Last Update Date | 2017-10-11 |