| NPI | 1982118121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLYNN LEWIS Administrative Assistant 225-924-1910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: LA 00924667) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |