| NPI | 1659548436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERILYNNE COTTLES Owner 318-238-5900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |