NPI | 1619122520 |
---|---|
Entity Type | Organization |
Authorized Contact | BENNETT WADE MORAIN Owner 337-290-2775 |
Organization Subpart ? | No |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: LA PCA 15128) |
Additional Taxonomies | 372600000X Adult Companion (Licence: LA PCA 15128) |
Enumeration Date | 2008-11-19 |
Last Update Date | 2008-11-25 |