Organization
HERITAGE HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL KIRK (CEO)
(985) 246-7874
Entity
Organization
Contact information
Practice address
2629 N CAUSEWAY BLVD, MANDEVILLE, LA 70471-6435
(985) 246-7874
Mailing address
2629 N CAUSEWAY BLVD, MANDEVILLE, LA 70471-6435
(985) 246-7874
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/20/2016
Last updated
04/01/2021
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