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Organization
HYDRATION HAVEN LLC
Active
Organization
HYDRATION HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY LYNN FOURROUX FNP (OWNER/PROVIDER)
(504) 458-6337
Entity
Organization
Contact information
Practice address
842 BEHRMAN HWY STE 103, TERRYTOWN, LA 70056-4546
(504) 450-6682
Mailing address
842 BEHRMAN HWY STE 103, TERRYTOWN, LA 70056-4546
(504) 450-6682
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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