| NPI | 1811012214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL JAMES WATTS Administrator 318-878-9058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care (Licence: LA 3913) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2023-01-12 |