| NPI | 1417963208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANENE DIXSON Director 337-513-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WG0600X Registered Nurse Gerontology (Licence: LA RN109573) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |