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 |