| 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 |