Healthcare Provider Details

I. General information

NPI: 1609912476
Provider Name (Legal Business Name): HORIZON REHABILITATION CENTER,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2911 CAMERON ST
MONROE LA
71201-3713
US

IV. Provider business mailing address

2911 CAMERON ST
MONROE LA
71201-3713
US

V. Phone/Fax

Practice location:
  • Phone: 318-651-9363
  • Fax:
Mailing address:
  • Phone: 318-651-9363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateLA

VIII. Authorized Official

Name: MR. KERRY JEFFERSON SCOTT
Title or Position: CEO
Credential: LAC
Phone: 318-410-1062