| 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 |