Organization
PURPLE HEARTS HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARKELLE SOUBLET (MANAGER)
(985) 214-9079
Entity
Organization
Contact information
Practice address
1340 W GAUSE BLVD, SLIDELL, LA 70458
(985) 214-9079
Mailing address
1340 WEST GAUSE BLVD, SLIDELL, LA 70458
(985) 214-9079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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