Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LAKELAND HEALTH CARE HOME AND COMMUNITY BASED WAIVER
Active
Organization
LAKELAND HEALTH CARE HOME AND COMMUNITY BASED WAIVER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ALLEN MORAD (CEO)
(504) 891-8100
Entity
Organization
Contact information
Practice address
1206 J W DAVIS DR, SUITE 109, HAMMOND, LA 70403-5953
(504) 891-8100
(504) 891-8156
Mailing address
3525 PRYTANIA ST, SUITE 609, NEW ORLEANS, LA 70115-3500
(504) 891-8100
(504) 891-8156
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
PCA 7025
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011274
—
LA
Enumeration date
03/01/2007
Last updated
08/26/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers