Organization Name: | PULSE, LLC |
NPI Number: | 1669788345 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRAIG DAMON HENRY (CHIEF EXECUTIVE OFFICER/EMPLOYEE) |
Mailing Address: | 837 Creston Dr Byram |
State: | MS US |
Postal Code: | 392723003 |
Phone Number: | 6016135681 |
Fax Number: | 6013723059 |
NPI Enumeration Date: | 08/19/2010 |
NPI Last Update Date: | 08/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Continuing Education/Staff Development |
Taxonomy Definition: |