Healthcare Provider Details

I. General information

NPI: 1215987441
Provider Name (Legal Business Name): CORRECT CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 07/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 SAINT JOHN LN
COVINGTON LA
70433
US

IV. Provider business mailing address

229 SAINT JOHN LN
COVINGTON LA
70433-3276
US

V. Phone/Fax

Practice location:
  • Phone: 985-773-1847
  • Fax: 985-249-5618
Mailing address:
  • Phone: 985-773-1847
  • Fax: 985-249-5618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. EDWARD JACKSON DEASE III
Title or Position: PRESIDENT/CEO
Credential: M.D.
Phone: 985-249-5600