| NPI | 1497884555 |
|---|---|
| Other Name | WAIVER SERVICES |
| Entity Type | Organization |
| Authorized Contact | DEBRA ANN WILSON Administrator 337-363-7879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: LA 11307) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |