| NPI | 1881878809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STARLETTE SABRINA GORDON Adm. 225-869-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: LA 1458066) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2018-11-08 |