Organization
HERITAGE MANOR OF SLIDELL LLC
Active
Other names
Heritage Manor of Slidell
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONI PARKINSON (AUTHORIZED REPRESENTATIVE)
(601) 709-1408
Entity
Organization
Contact information
Practice address
106 MEDICAL CENTER DR, SLIDELL, LA 70461-5575
(985) 643-0307
(985) 643-2445
Mailing address
106 MEDICAL CENTER DR, SLIDELL, LA 70461-5575
(985) 643-0307
(985) 643-2445
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
925
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517712
—
LA
01
—
385H00000X
RESPITE CARE
LA
Enumeration date
02/12/2007
Last updated
11/30/2024
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