| NPI | 1386856482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REPUNDA MIMS BALL Administrator 318-631-7583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: LA 10737) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2013-05-20 |