| NPI | 1417434606 |
|---|---|
| Doing Business As | EPIPHANY HEALTHCARE OF HAMMOND |
| Doing Business As | BACK 2 HEALTH WALK-IN CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MOORE CEO, Executive Director 985-209-6571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health |
| 2279H0200X Respiratory Therapist, Registered, Home Health | |
| 405300000X Prevention Professional (Licence: LA 2203783830) | |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-09-24 |