| NPI | 1992900385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARITA YVETTE BANKSTON Program Director 225-383-1525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: LA 12020) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |