Organization
M L D INSTITUTE OF LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DALE ANN VUCINOVICH RN (OWNER/OPERATOR)
(504) 220-0225
Entity
Organization
Contact information
Practice address
1274 SAINT TAMMANY AVE, SLIDELL, LA 70460
(504) 220-0225
Mailing address
1274 SAINT TAMMANY AVE, SLIDELL, LA 70460
(504) 220-0225
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
0082611
LA
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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