| NPI | 1396469623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA COLLINS Alternate Administrator 225-933-0142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2023-05-04 |