Palliative Care At Heart, LLC
Family Medicine, Hospice and Palliative Medicine in Baton Rouge, LA. Organization (NPI-2).
NPI number1164052296
StatusActive
Last updated in NPPESApr 21, 2021
Details
- NPI
- 1164052296
- Entity type
- Organization (NPI-2)
- Legal business name
- Palliative Care At Heart, LLC
- Organization subpart
- No
- Enumeration date
- Jan 16, 2020
- Certification date
- Apr 21, 2021
- Last updated
- Apr 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QH0002X | Family Medicine, Hospice and Palliative Medicine | – | – | Yes |
Practice location
4212 American WaySuite C
Baton Rouge, LA 70816
Phone 225-412-3660
Mailing address
134 Columbus StCharleston, SC 29403-4809
Authorized official
Jim Petrus
Cfo
8434106691
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