NPI | 1508039330 |
---|---|
Doing Business As | PROVISIONS PERSONAL CARE SERVICES |
Entity Type | Organization |
Authorized Contact | NELLIE A WEBSTER Director 225-272-4146 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization |
Enumeration Date | 2008-04-13 |
Last Update Date | 2009-02-02 |