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Organization
IMPACT HEALTH MANAGEMENT SOLUTIONS
Active
Organization
IMPACT HEALTH MANAGEMENT SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE ISAAC THOMAS MSN, RN, CCM (OWNER)
(225) 590-6821
Entity
Organization
Contact information
Practice address
11120 N BAYOU VIEW DR, GONZALES, LA 70737-6560
(225) 590-6821
Mailing address
11120 N BAYOU VIEW DR, GONZALES, LA 70737-6560
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
NULL
251B00000X
Case Management Agency
Primary
—
NULL
251J00000X
Nursing Care Agency
—
NULL
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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