Healthcare Provider Details

I. General information

NPI: 1508946161
Provider Name (Legal Business Name): GLOBAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 E GIBSON ST
COVINGTON LA
70433
US

IV. Provider business mailing address

609 E GIBSON ST
COVINGTON LA
70433
US

V. Phone/Fax

Practice location:
  • Phone: 985-809-3860
  • Fax: 985-809-3825
Mailing address:
  • Phone: 985-809-3860
  • Fax: 985-809-3825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARLENA B ANGELETTI
Title or Position: OFFICE MANAGER
Credential:
Phone: 985-809-3860