NPI | 1790904522 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE J WILLIAMS Director 337-507-3916 |
Organization Subpart ? | No |
Primary Taxonomy | 171W00000X Contractor (Licence: LA 9653) |
Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: LA 9653) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2020-08-22 |