| NPI | 1528762952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBY DOMINGUE Hr 337-446-4160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-03-29 |