| NPI | 1629474192 |
|---|---|
| Doing Business As | THIBODAUX PEDIATRIC DAY HEALTH CARE |
| Entity Type | Organization |
| Authorized Contact | MARY AMANDA WILLIAMSON Owner 985-446-1541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care (Licence: LA 2203782237) |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2017-02-21 |