| NPI | 1417090705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JONES CEO 318-861-0306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: LA 1127) |
| Additional Taxonomies | 251E00000X Home Health (Licence: LA 469) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2022-07-21 |