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General NPI Number Information
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NPI Number | 1770397002
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Entity Type | Organization
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Legal Business Name | NEULIFE REHABILITATION OF LOUISIANA INC
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Dates
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Enumeration Date | 02/06/2025
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 41238 ADAMS RD
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City | HAMMOND
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State | LA
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Zip | 70403-2069
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Country | US
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Telephone | 502-558-8312
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Fax | 502-215-6877
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Provider Business Mailing Address
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Address Line | 189 ADAM SHEPHERD PARKWAY, SUITE 17 PMB #280
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City | SHEPHERDSVILLE
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State | KY
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Zip | 40165
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Country | US
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Telephone | 502-558-8312
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Fax | 502-215-6877
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Authorized Official
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Title or Position | CEO
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Name | PATRICK G KELLEY
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Credential |
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Telephone | 502-558-8312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State |
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