| NPI | 1487911616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY D JOHNSON Owner/Operator 985-630-8152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: LA 94034528) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-13 |