| NPI | 1629508486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WILLIAM BASHA Owner 318-623-0890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: LA 2203783331) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2022-07-21 |