| NPI | 1861249583 |
|---|---|
| Doing Business As | THIBODAUX REGIONAL WOUND CARE & LIMB PRESERVATION CENTER |
| Entity Type | Organization |
| Authorized Contact | KIM LEGENDRE BOUDREAUX Director Of Contracting 985-493-4907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 207Q00000X Family Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 261QP1100X Clinic/Center, Podiatric | |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-05-16 |