Organization
ADVANTAGE FOOT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YACARA TABB D.P.M. (OWNER)
(504) 905-9458
Entity
Organization
Contact information
Practice address
2809 SAINT CLAUDE AVE, NEW ORLEANS, LA 70117-7224
(504) 947-3668
(504) 947-4444
Mailing address
PO BOX 1054, LULING, LA 70070-1054
(985) 331-1865
(985) 785-1445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PD177R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1685585
—
LA
01
—
4E162
MEDICARE ID
LA
Enumeration date
01/09/2008
Last updated
03/15/2011
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