Organization
OPTIMAL CARE PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UZOMA BERTRAM MOORE M.D. (PHYSICIAN)
(225) 270-1255
Entity
Organization
Contact information
Practice address
11111 N HARRELLS FERRY RD, APT: 137, BATON ROUGE, LA 70816-8389
(225) 270-1255
Mailing address
11111 N HARRELLS FERRY RD, APT: 137, BATON ROUGE, LA 70816-8389
(225) 270-1255
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
MD 204952
LA
283X00000X
Rehabilitation Hospital
—
—
310400000X
Assisted Living Facility
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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