| NPI | 1376996280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIERRA H STEWART Owner 225-308-4553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 291U00000X Clinical Medical Laboratory | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 163WC0400X Registered Nurse, Case Management | |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2023-01-24 |