Organization Name: | ELEMENT CARE GROUP |
NPI Number: | 1952792517 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEOFFREY AARON MCCORD (OWNER/MEMBER LLC) |
Mailing Address: | 1810 Woodview Dr Garrett |
State: | IN US |
Postal Code: | 467381865 |
Phone Number: | 2603332274 |
Fax Number: | |
NPI Enumeration Date: | 02/17/2015 |
NPI Last Update Date: | 04/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 71003735A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |