Healthcare Provider Details

I. General information

NPI: 1053426916
Provider Name (Legal Business Name): NEW ORLEANS EAST REHABILITATION HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 W WASHINGTON ST
BATON ROUGE LA
70802-7655
US

IV. Provider business mailing address

170 W WASHINGTON ST
BATON ROUGE LA
70802-7655
US

V. Phone/Fax

Practice location:
  • Phone: 225-303-0572
  • Fax: 225-303-0588
Mailing address:
  • Phone: 225-303-0572
  • Fax: 225-303-0588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number588
License Number StateLA

VIII. Authorized Official

Name: MR. BRUCE WALKER
Title or Position: CEO/DIRECTOR OF NURSING
Credential: MSN
Phone: 225-303-0572