| NPI | 1902058563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONEA KRYSTAL LYNN THIGPEN Vice President 337-349-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: LA RN 103303) |
| Additional Taxonomies | 251B00000X Case Management |
| 251J00000X Nursing Care (Licence: LA RN103303) | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2009-06-23 |