Healthcare Provider Details

I. General information

NPI: 1003720566
Provider Name (Legal Business Name): ACUTE RECOVERY MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5620 I 49 N SERVICE RD
OPELOUSAS LA
70570-0780
US

IV. Provider business mailing address

5620 I 49 N SERVICE RD
OPELOUSAS LA
70570-0780
US

V. Phone/Fax

Practice location:
  • Phone: 347-476-6272
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. MOSES BRAIMOH
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 347-476-6272