| NPI | 1467615005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRASHEDA KONYA TOLIVER Owner 318-377-3778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: LA PCA 15048) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |