# PALLIATIVE CARE AT HEART, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134759277
- **Authorized official:** JIM PETRUS (CFO)
- **Authorized official phone:** (843) 410-6691

## Contact information

- **Practice address:** 3829 GILBERT DR, SHREVEPORT, LA 71104-5005
- **Practice address phone:** (318) 404-1346
- **Mailing address:** 134 COLUMBUS ST, CHARLESTON, SC 29403-4809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2020
- **Last updated:** 04/21/2021