NPI | 1356655260 |
---|---|
Entity Type | Organization |
Authorized Contact | LORIA ROME Office Manager 504-821-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: LA 489) |
Enumeration Date | 2010-08-03 |
Last Update Date | 2010-09-02 |