| NPI | 1639637671 |
|---|---|
| Doing Business As | DESOTO HABILITATION SERVICES |
| Entity Type | Organization |
| Authorized Contact | VICTORIA JACKSON Executive Director 318-872-3255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-08 |