NPI | 1124531017 |
---|---|
Doing Business As | ADVANCED CARE HOUSE CALLS |
Entity Type | Organization |
Authorized Contact | NICHOLAS GACHASSIN Executive Vice President 337-233-1307 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
Enumeration Date | 2017-11-14 |
Last Update Date | 2020-01-29 |