NPI | 1770768319 |
---|---|
Entity Type | Organization |
Authorized Contact | ALLEN F MITCHELL Owner 504-655-2629 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: LA RC 13003) |
Enumeration Date | 2008-01-02 |
Last Update Date | 2008-01-02 |