NPI | 1821316100 |
---|---|
Entity Type | Organization |
Authorized Contact | SHEVELLE LIESA FORD Owner 225-721-1647 |
Organization Subpart ? | No |
Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: LA 15280) |
Enumeration Date | 2010-05-11 |
Last Update Date | 2010-05-11 |