| NPI | 1578626891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA ARLENE WASHINGTON Director 318-793-8453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: LA SIL10530) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2025-02-11 |