Organization
SLIDELL ADULT DAY HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWIGHT ERIC DENHAM (ADMINISTRATOR)
(985) 643-1112
Entity
Organization
Contact information
Practice address
2768 SGT ALFRED DR, SLIDELL, LA 70458-4014
(985) 643-1112
(985) 643-3444
Mailing address
2768 SGT ALFRED DR, SLIDELL, LA 70458-4014
(985) 643-1112
(985) 643-3444
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
385H00000X
Respite Care
ADHC 5001
LA
Other
Enumeration date
04/02/2007
Last updated
10/28/2022
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