Organization
ASSURING HEARTS MED PASS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRISE LARKS (OWNER)
(504) 215-2766
Entity
Organization
Contact information
Practice address
201 SAINT CHARLES AVE, NEW ORLEANS, LA 70170-1000
(504) 215-5766
Mailing address
201 SAINT CHARLES AVE, NEW ORLEANS, LA 70170-1000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20130950
LA
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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