OrganizationActive
Northshore Incs, LLC
NPI 1396868550 · Point of Service · Slidell, LA
Provider details
- NPI number
- 1396868550
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Chris Tedesco, Program Coordinator(985) 649-1605
- License
- 10387 (LA)
Specialties & taxonomies
Managed Care Organizations
Practice location
742 E I 10 Service Rd
Slidell, LA 70461-5518
Phone: (985) 649-1605
Approximate (ZIP-level) locationGet directions
Mailing address
742 E I 10 Service Rd
Slidell, LA 70461-5518
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.