NPI | 1962681544 |
---|---|
Entity Type | Organization |
Authorized Contact | TEMPEST JACKSON Owner 337-560-0727 |
Organization Subpart ? | No |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: LA 14007) |
Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: LA 14007) |
Enumeration Date | 2007-10-30 |
Last Update Date | 2007-11-14 |