| 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 |