| NPI | 1437945029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAIR RICARD Owner 225-361-3970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2025-04-18 |
| Last Update Date | 2025-04-18 |