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Organization
DIVERSIFIED HEALTHCARE SLIDELL LLC DBA NORTHSHORE LIVING CENTER
Active
Organization
DIVERSIFIED HEALTHCARE SLIDELL LLC DBA NORTHSHORE LIVING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY HAUVER D.O. (DIRECTOR OF OPERATIONS)
(985) 643-0307
Entity
Organization
Contact information
Practice address
106 MEDICAL CENTER DR, SLIDELL, LA 70461-5575
(985) 643-0307
(985) 641-9307
Mailing address
106 MEDICAL CENTER DR, SLIDELL, LA 70461-5575
(985) 643-0307
(985) 641-9307
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
925
LA
Other
Enumeration date
07/02/2006
Last updated
08/22/2020
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