Organization
FIVE HEARTS HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANICIA MOSELY (CEO)
(985) 445-1800
Entity
Organization
Contact information
Practice address
132 W HOWZE BEACH RD, SLIDELL, LA 70458-8501
(985) 445-1800
(985) 445-1802
Mailing address
132 W HOWZE BEACH RD, SLIDELL, LA 70458-8501
(985) 445-1800
(985) 445-1802
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1737712
—
LA
Enumeration date
11/15/2015
Last updated
06/06/2023
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