| NPI | 1962937623 |
|---|---|
| Other Name | EASTERSEALS |
| Entity Type | Organization |
| Authorized Contact | TRELISA S BRIDGEWATER Psr 318-820-7219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |