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NPI Code Detail

MEDICARE: LOUISIANA HEALTH AND REHAB CENTER INC

MEDICARE: LOUISIANA HEALTH AND REHAB CENTER INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency494LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013289974
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOUISIANA HEALTH AND REHAB CENTER INC
Provider Business Mailing Address
First Line : 2121 WOODDALE BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-1442
Country : US
Telephone Number : 225-231-2490
Fax Number : 225-231-2775
Provider Business Practice Location Address
First Line : 4255 E BROOKSTOWN DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70805-4603
Country : US
Telephone Number : 225-927-0770
Fax Number : 225-927-0771
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : SOUNDRA TEMPLE JOHNSON
Credential :
Telephone Number : 225-231-2490
Provider Enumeration Date : 02/07/2012
Last Update Date : 03/31/2016

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Directions to “LOUISIANA HEALTH AND REHAB CENTER INC ” Practice Location

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