| NPI | 1417219676 |
|---|---|
| Doing Business As | NEW FAITH SUPERVISED INDEPENDENT LIVING |
| Entity Type | Organization |
| Authorized Contact | DEBRA DENISE EACKLES Owner 225-387-5722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |