NPI | 1265548614 |
---|---|
Doing Business As | CARESOUTH |
Entity Type | Organization |
Authorized Contact | KENYA L NELSON Billing/Credentialing Manager 225-650-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2024-10-31 |