| NPI | 1770079246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEKEIDRA PRATT Owner/Administrator 318-572-1403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: LA RN139447) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: LA RN139447) |
| Enumeration Date | 2018-07-07 |
| Last Update Date | 2018-07-07 |