| NPI | 1700924768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY CHAMPAGNE Administrator 985-872-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: LA 69) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 69) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2022-10-14 |