| NPI | 1639356835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONETTE M CARGO Owner 225-926-3337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374700000X Technician (Licence: LA 1466506) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: LA 1466506) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-01-30 |