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General NPI Number Information
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NPI Number | 1881752285
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Entity Type | Organization
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Legal Business Name | ACADIA REHABILITATION HOSPITAL, LLC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 03/28/2012
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Provider Practice Location Address
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Address Line | 2018 VETERAN MEMORIAL DRIVE
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City | ABBEVILLE
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State | LA
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Zip | 70510-2018
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Country | US
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Telephone | 337-898-9191
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Fax | 337-898-9246
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Provider Business Mailing Address
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Address Line | 203 E. NEQUPQUE STREET SUITE 101
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City | JENNINGS
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State | LA
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Zip | 70546-5351
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Country | US
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Telephone | 337-616-0115
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Fax | 337-616-0117
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DEBBIE R MILLER
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Credential |
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Telephone | 337-616-0115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 958
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License Number State | LA
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