NPI | 1437329604 |
---|---|
Entity Type | Organization |
Authorized Contact | DORIS MITCHELL President/CEO 318-459-1600 |
Organization Subpart ? | No |
Primary Taxonomy | 251T00000X PACE Provider Organization (Licence: LA 11385) |
Enumeration Date | 2008-03-04 |
Last Update Date | 2008-03-10 |