Organization
ELISHAS MEDICAL HEALTHCARE SERVICE
Active
Other names
mecca medical healthcare service
Organization subpart
No
Provider details
NPI number
Authorized official
ELISHA HATCH (OWNER)
(504) 821-9111
Entity
Organization
Contact information
Practice address
3308 TULANE AVE STE 411, NEW ORLEANS, LA 70119-7100
(504) 821-9111
(504) 821-9198
Mailing address
3025 WHITTY DR, SLIDELL, LA 70461-1380
(504) 821-9111
(504) 821-9198
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
07/12/2006
Last updated
06/18/2008
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