| NPI | 1407924897 |
|---|---|
| Doing Business As | MMO OF LAFAYETTE |
| Entity Type | Organization |
| Authorized Contact | ROBERT L. MILLER CEO 225-293-6774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: LA 28-00444454) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2011-09-07 |