| NPI | 1336901263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVA VICTORIA SMITH Owner 318-946-7986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 315D00000X Hospice, Inpatient | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-01-25 |