| NPI | 1366955809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNAH HICKERSON Owner 225-367-1646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: LA 2203783544) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |