Organization
LAKELAND HEALTH CARE SERVICE INC.
Active
Other names
LAKELAND HEALTH CARE SERVICE INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ALLEN MORAD (CEO)
(504) 891-8100
Entity
Organization
Contact information
Practice address
1126 COMMERCIAL DR, SUITE 2, HAMMOND, LA 70403-5972
(985) 542-3131
(985) 542-3161
Mailing address
PO BOX 5610, SLIDELL, LA 70469-5610
(504) 891-8100
(504) 891-8156
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1031
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1031
STATE LICENSE
LA
05
—
1406759
—
LA
Enumeration date
10/11/2006
Last updated
06/04/2009
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