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Organization
HERITAGE MANOR OF SLIDELL LLC
Active
Organization
HERITAGE MANOR OF SLIDELL LLC
Active
Other names
Heritage Manor of Slidell
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONI PARKINSON (AUTHORIZED REPRESENTATIVE)
(601) 709-1408
Entity
Organization
Contact information
Practice address
106 MEDICAL CENTER DR, SLIDELL, LA 70461-5575
(985) 643-0307
(985) 643-2445
Mailing address
106 MEDICAL CENTER DR, SLIDELL, LA 70461-5575
(985) 643-0307
(985) 643-2445
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
925
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517712
—
LA
01
—
385H00000X
RESPITE CARE
LA
Enumeration date
02/12/2007
Last updated
11/30/2024
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