| NPI | 1619164894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSELL HUDSON Podiatric Physician 318-797-4169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: LA PD149R) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2010-06-11 |