NPI | 1568474161 |
---|---|
Doing Business As | OPTIMUM PERSONAL CARE SERVICES |
Entity Type | Organization |
Authorized Contact | DELILAH MOUTON BROUSSARD Executive Director 337-593-8444 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: LA 11117) |
Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: LA 12067) |
305R00000X Preferred Provider Organization (Licence: LA 12068) | |
Enumeration Date | 2006-08-12 |
Last Update Date | 2020-08-22 |