| NPI | 1740713700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEISHIA KAWON JOHNSON Home Health 318-946-2487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: LA 3747P180X) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |