| 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 |