| NPI | 1528518818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON MICHELLE BENJAMIN Owner 337-680-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: LA RN141609) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN089327) |
| 163WW0000X Registered Nurse, Wound Care (Licence: LA 4260923) | |
| 163WW0000X Registered Nurse, Wound Care (Licence: LA 7280825) | |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |