Organization · NPI-2
Ivcare Infusion LLC
Clinic/Center, Multi-Specialty · Gallatin, TN
NPI number1699485458
StatusActive
Last updated in NPPESFeb 5, 2025
Details
- NPI
- 1699485458
- Entity type
- Organization (NPI-2)
- Legal business name
- Ivcare Infusion LLC
- Organization subpart
- No
- Enumeration date
- Dec 1, 2022
- Certification date
- Feb 5, 2025
- Last updated
- Feb 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – |
Practice location
710 Nashville Pike Ste 103Gallatin, TN 37066-4592
Phone 571-315-9906
Mailing address
710 Nashville Pike Ste 103Gallatin, TN 37066-4592
Phone 615-471-8673 · Fax 615-471-8674
Authorized official
Jeobu Peter
President
6154617078
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