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Organization
PAM II OF COVINGTON, LLC
Active
Organization
PAM II OF COVINGTON, LLC
Active
Other names
Northshore Specialty Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES R ASBERRY (CFO)
(210) 213-9571
Entity
Organization
Contact information
Practice address
20050 CRESTWOOD BLVD, WOUND CARE CENTER, COVINGTON, LA 70433-5207
(985) 875-7525
(985) 875-1934
Mailing address
20050 CRESTWOOD BLVD, WOUND CARE CENTER, COVINGTON, LA 70433-5207
(985) 875-7525
(985) 875-1934
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
680
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1703176
—
LA
Enumeration date
10/22/2012
Last updated
10/22/2012
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