NPI | 1801210133 |
---|---|
Doing Business As | CARESOUTH |
Entity Type | Organization |
Authorized Contact | KENYA L NELSON Credentialing/Billing Manager 225-650-2028 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2014-02-06 |
Last Update Date | 2024-10-31 |