| NPI | 1982739413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JACOLA Owner 318-362-0036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: LA PCA 10806) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-09-25 |