| NPI | 1417177494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL B ST AMANT Administrator 985-839-1195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: LA 1178837) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2021-08-04 |