OrganizationActive
Lakeland Healthcare Home & Community Based Waver
NPI 1669500633 · Health Maintenance Organization · Slidell, LA
Provider details
- NPI number
- 1669500633
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Mark Morad, Ceo(504) 891-8100
- License
- PCA 7025 (LA)
Specialties & taxonomies
Managed Care Organizations
Practice location
105 Medical Center Dr Ste 206
Slidell, LA 70461-5538
Phone: (985) 781-7117
Fax: (504) 891-8156
Approximate (ZIP-level) locationGet directions
Mailing address
3525 Prytania St Ste 609
New Orleans, LA 70115-3545
Registry dates
- Enumerated
- 2007-03-01
- 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.