| NPI | 1801195649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRICE V WIGGINS-LAIN Owner 504-241-8188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: LA 40453949k) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2022-02-08 |