| NPI | 1629493770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDY WILLIAMSON Owner 318-448-0449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care (Licence: LA 2203781968) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2017-02-22 |