| NPI | 1770983371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG MATHEWS Administrator 337-519-2851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Additional Taxonomies | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: LA 2203782097) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2017-01-11 |