| 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 |