| NPI | 1861548299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMPEST JACKSON Director 985-395-0035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: LA PCA 12190) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |