| NPI | 1770086589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRISE PATRICE LARKS Owner 504-215-5766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: LA 20130950) |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2018-03-18 |