NPI | 1689936833 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSA LEE GRAY Registered Nurse 2 318-357-3132 |
Organization Subpart ? | No |
Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: LA 075080) |
Enumeration Date | 2012-06-13 |
Last Update Date | 2012-06-13 |