NPI | 1972630341 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES RAY JOHNSON Owner 318-286-5935 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: LA 11051) |
Additional Taxonomies | 251E00000X Home Health (Licence: LA 11052) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2007-08-06 |