Lakeland Healthcare Home & Community Based Waver

NPI #1669500633 in Slidell, Louisiana

Provider Information

NPI Number
1669500633
Entity Type
Organization
Organization Name
Lakeland Healthcare Home & Community Based Waver
Primary Specialty
Health Maintenance Organization
Enumeration Date
Mar 1, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
105 MEDICAL CENTER DR STE 206
ZIP Code
70461-5538
Phone
(985) 781-7117

Authorized Official

Name
MARK ALLEN MORAD
Title
CEO
Phone
(504) 891-8100

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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