| NPI | 1992023279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEVELLE LIESA FORD Owner 225-721-1647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: LA 15280) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-05-11 |