| NPI | 1578041844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE BROUSSARD Assistant Administrator 337-233-0545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |