| NPI | 1790969640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRESTON THOMAS GOODSON Assistant Administrator 318-281-4925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251E00000X Home Health (Licence: LA PCA15231) |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2022-04-01 |