| NPI | 1417347048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILDRED RIVERS Owner 318-470-8445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251E00000X Home Health (Licence: AR 196453752) |
| 251S00000X | |
| 253Z00000X In Home Supportive Care (Licence: AR 196453752) | |
| 253Z00000X In Home Supportive Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2023-06-30 |