Organization Name: | NURSING HOME SPECIALISTS, L.L.C. |
NPI Number: | 1861787830 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LARRY W FOUCHE (OWNER/MANAGER) |
Mailing Address: | 201 Essex Pl Forsyth |
State: | GA US |
Postal Code: | 310298293 |
Phone Number: | 4787470732 |
Fax Number: | 4789925565 |
NPI Enumeration Date: | 06/17/2011 |
NPI Last Update Date: | 06/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 1531 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |