OrganizationHealthcare Gallery LlcFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address3488 Brentwood Dr, Suite 103, Baton Rouge, LA 70809-1639(617) 308-9499PECOS EnrollmentBased on the most recent information from CMS, provider Healthcare Gallery Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1366878076Provider TypeOrganizationFull NameHealthcare Gallery LlcSubpartNoEnumeration Date9/25/2013Last Updated4/10/2023Contact InformationPractice LocationPractice Address3488 Brentwood Dr, Suite 103, Baton Rouge, LA 70809-1639Phone(617) 308-9499FaxUnlisted FaxMailing LocationMailing Address3488 Brentwood Dr, Suite 103, Baton Rouge, LA 70809-1639Phone(617) 308-9499FaxUnlisted FaxAuthorized OfficialNameElliott, Leone (Owner)Phone(225) 384-5378Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode261QP2300XDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicense025912Louisiana