Organization
1ST AMERICA INFUSION SERVICES LLC
Active
Other names
Advanced InfusionCare
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON CASTELLANOS (CEO)
(601) 988-1700
Entity
Organization
Contact information
Practice address
1022 W 1ST ST STE 107, WINSTON SALEM, NC 27101-3642
(601) 988-1700
Mailing address
623 HIGHLAND COLONY PKWY STE 100, RIDGELAND, MS 39157-6077
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
11/02/2021
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