| NPI | 1538698584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY CRAIGH STAFFORD Co Owner 318-704-6591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2023-08-28 |