| NPI | 1629296025 |
|---|---|
| Former Legal Business Name | DEPTHEALEH&HOSPITAL LONG TERM CARE PERSONAL CARE SERV |
| Entity Type | Organization |
| Authorized Contact | ETHEL COMEAUX Director 225-923-2439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: LA 1178225) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: LA 1436160) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-05-16 |