Organization
EXTRAORDINARY HEALTH INC.
Active
Other names
Hospital at Home
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD SHAHEEN MD (MANAGER)
(757) 310-3809
Entity
Organization
Contact information
Practice address
5855 E BROOKE FLOWER CIR STE A, LAKE CHARLES, LA 70605-0299
(757) 310-3809
Mailing address
PO BOX 4238, LAKE CHARLES, LA 70606-4238
(757) 310-3809
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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