| 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 |