Organization
CENTER FOR RELIEF-SLIDELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHALIE DEMAREST (OFFICE MANAGER)
(985) 871-1181
Entity
Organization
Contact information
Practice address
1850 GAUSE BLVD E, SUITE 250, SLIDELL, LA 70461-5442
(985) 871-1181
(985) 871-1189
Mailing address
101 E FAIRWAY DR, SUITE 101, COVINGTON, LA 70433-7503
(985) 871-1181
(985) 871-1189
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
012272
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1308951
—
LA
Enumeration date
12/30/2008
Last updated
12/30/2008
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