| NPI | 1497492359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE MARIE HARVEY Owner/Director 225-291-1164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2022-05-12 |