| NPI | 1669170205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRESHIA MONEE HARRIS Owner 318-289-7124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2023-08-27 |