Organization
INNOVATIVE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH LEBLANC (PARTNER)
(877) 485-4474
Entity
Organization
Contact information
Practice address
100 MEDICAL CENTER DR, SLIDELL, LA 70461-5520
(985) 649-7070
Mailing address
DEPT 960375, OKLAHOMA CITY, OK 73196-0001
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017621
—
LA
01
—
DQ6950
RRMCARE
LA
Enumeration date
06/19/2009
Last updated
03/04/2011
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