NPI | 1497981724 |
---|---|
Entity Type | Organization |
Authorized Contact | KAWANNA KAY PROUT President 504-307-5920 |
Organization Subpart ? | No |
Primary Taxonomy | 385H00000X Respite Care (Licence: LA 35192740) |
Additional Taxonomies | 251T00000X PACE Provider Organization (Licence: LA 35192740) |
253Z00000X In Home Supportive Care (Licence: LA 35192740) | |
347C00000X Private Vehicle (Licence: LA 35192740) | |
Enumeration Date | 2009-06-01 |
Last Update Date | 2009-06-01 |