Organization
ELISHAS MEDICAL HEALTHCARE SERVICE
Active
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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