| NPI | 1578189957 |
|---|---|
| Doing Business As | ASERACARE SERIOUS ILLNESS SUPPORT PROGRAM |
| Entity Type | Organization |
| Authorized Contact | PATRICIA U GOFF Access Manager 225-299-3701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-06-22 |