NPI: 1659541704 · GAUTIER, MS 39553 · Dentist · NPI assigned 03/05/2008
| Authorized Official | PARRISH, WILLIAM (PRESIDENT) |
| NPI Enumeration Date | 03/05/2008 |
Other providers sharing the same authorized official: PARRISH, WILLIAM
| Provider | City | State | Total Paid |
|---|---|---|---|
| INNOVATIVE SENIOR CARE HOME HEALTH OF RICHMOND LLC | NORTH CHESTERFIELD | VA | $799.64 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 72 | $3K |