| NPI | 1710267406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS D ROSS Owner 337-214-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |