| NPI | 1710196175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JACOLA Owner 318-362-0036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: LA PCA10806) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2022-08-05 |