Organization
DIVERSIFIED HEALTHCARE SLIDELL LLC DBA NORTHSHORE LIVING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY HAUVER D.O. (DIRECTOR OF OPERATIONS)
(985) 643-0307
Entity
Organization
Contact information
Practice address
106 MEDICAL CENTER DR, SLIDELL, LA 70461-5575
(985) 643-0307
(985) 641-9307
Mailing address
106 MEDICAL CENTER DR, SLIDELL, LA 70461-5575
(985) 643-0307
(985) 641-9307
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
925
LA
Other
Enumeration date
07/02/2006
Last updated
08/22/2020
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