Organization · NPI-2

Advance Telehealth Consulting Solutions, LLC

Durable Medical Equipment & Medical Supplies · Lafayette, LA

NPI number1194196535
StatusActive
Last updated in NPPESAug 25, 2016

Details

NPI
1194196535
Entity type
Organization (NPI-2)
Legal business name
Advance Telehealth Consulting Solutions, LLC
Organization subpart
No
Enumeration date
Oct 12, 2015
Last updated
Aug 25, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry––

Practice location

1001 W. Pinhook Road
Building 3 Suite 219
Lafayette, LA 70503

Phone 337-565-0843 · Fax 337-205-4150

Mailing address

Po Box 91955
Lafayette, LA 70509

Phone 337-565-0843 · Fax 337-205-4150

Authorized official

Charles Adam Edwards
Chief Executive Officer
3375650843

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