| NPI | 1669621272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRASHEDA K. TOLIVER Owner 318-512-0152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: LA 15048) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |