| NPI | 1639367113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBA BRISCOE Administrator 318-649-3565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: LA PCA 14020) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |