| NPI | 1538339254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYSHAWN GREMILLION Owner 504-948-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: LA 408604001) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |