NPI | 1659484947 |
---|---|
Doing Business As | OPTIMUM PERSONAL CARE SERVICES |
Entity Type | Organization |
Authorized Contact | DELILAH M BROUSSARD Executive Director 337-593-8444 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: LA 11117) |
Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: LA 12067) |
302F00000X Exclusive Provider Organization (Licence: LA 12068) | |
Enumeration Date | 2006-08-17 |
Last Update Date | 2008-09-13 |