NPI 1912035924

Lakeland Health Care Home and Community Based Waiver

Organisation Case Management Agency Hammond, LA

Practice location

Address: 1206 J W Davis Dr Suite 109, Hammond, LA 70403-5953
Phone: (504) 891-8100
Fax: (504) 891-8156
Mailing address: 3525 Prytania St Suite 609, New Orleans, LA 70115-3500

Authorised official

Name: Mark Allen Morad
Title: Ceo
Phone: (504) 891-8100

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence PCA 7025 (LA)

Other Case Management providers in Louisiana →

Registry record

NPI: 1912035924
Entity type: Organization
NPI issued: 1 Mar 2007
Record last updated: 26 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.