| NPI | 1871786962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHONDA W BROOM Program Director 985-853-8560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |