NPI | 1477936946 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY JOHNSON Owner 504-303-4177 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0404X Clinic/Center, Rehabilitation, Cardiac Facilities |
Enumeration Date | 2015-07-02 |
Last Update Date | 2015-12-07 |