Organization
OUR LADY OF THE LAKE RMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTELLE GRAVES B.S.R.R.T (DIRECTOR OF CLINICAL EDUCATION)
(225) 202-4578
Entity
Organization
Contact information
Practice address
1145 BEECHWOOD DR, HARVEY, LA 70058-4332
(504) 621-5247
Mailing address
1145 BEECHWOOD DR, HARVEY, LA 70058-4332
(504) 621-5247
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
LRT.000756
LA
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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