Healthcare Provider Details

I. General information

NPI: 1982194817
Provider Name (Legal Business Name): ACCORD REHABILITATION PART B PRACTICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2018
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59213 RIVERWEST DR.
PLAQUEMINE LA
70764
US

IV. Provider business mailing address

59213 RIVERWEST DR.
PLAQUEMINE LA
70764
US

V. Phone/Fax

Practice location:
  • Phone: 225-687-8100
  • Fax:
Mailing address:
  • Phone: 225-687-8100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JULENE MCALISTER
Title or Position: ADMINISTRATOR
Credential:
Phone: 225-687-8100