| NPI | 1992419824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAVONDA ROCHELLE PONDEXTER Director 225-218-3277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 177F00000X Lodging |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 251S00000X | |
| 251V00000X Voluntary or Charitable | |
| 253Z00000X In Home Supportive Care | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-01-05 |