Organization
PALLIATIVE CARE AT HEART, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM PETRUS (CFO)
(843) 410-6691
Entity
Organization
Contact information
Practice address
1001 HIGHWAY 190 EAST SERVICE RD STE 202, COVINGTON, LA 70433-4963
(985) 375-1192
Mailing address
134 COLUMBUS ST, CHARLESTON, SC 29403-4809
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
01/16/2020
Last updated
09/22/2021
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