Organization
INTRATHECAL CARE SOLUTIONS
Active
Organization
INTRATHECAL CARE SOLUTIONS
Active
Other names
ICS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIMON CASTELLANOS (CEO)
(601) 988-1700
Entity
Organization
Contact information
Practice address
623 HIGHLAND COLONY PKWY STE 100, RIDGELAND, MS 39157-6077
(601) 988-1700
(816) 875-4473
Mailing address
623 HIGHLAND COLONY PKWY STE 100, RIDGELAND, MS 39157-6077
(601) 988-1700
(601) 988-1701
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
LC1021172
MO
Other
Enumeration date
03/01/2010
Last updated
11/02/2021
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