| Hydration Haven Llc | |
|
842 Behrman Hwy Ste 103 Terrytown LA 70056-4546 | |
| (504) 450-6682 | |
| Not Available |
| Full Name | Hydration Haven Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 842 Behrman Hwy Ste 103, Terrytown, Louisiana |
| Authorized Official Name and Position | Shelby Lynn Fourroux (OWNER/PROVIDER) |
| Authorized Official Contact | 5044586337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hydration Haven Llc 842 Behrman Hwy Ste 103 Terrytown LA 70056-4546 Ph: (504) 450-6682 | Hydration Haven Llc 842 Behrman Hwy Ste 103 Terrytown LA 70056-4546 Ph: (504) 450-6682 |
| NPI Number | 1477470284 |
|---|---|
| Provider Enumeration Date | 07/01/2026 |
| Last Update Date | 07/01/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477470284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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