| NPI | 1891943791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKUS BOSLEY Administrator 318-450-4911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: LA pca 15080) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2015-05-22 |