MEDICARE: PREMIER REHAB OF SOUTHWEST LOUISIANA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1710321716
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER REHAB OF SOUTHWEST LOUISIANA LLC

Provider Business Mailing Address
First Line	:	PO BOX 13958
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71315-3958
Country	:	US
Telephone Number	:	318-542-9367
Fax Number	:

Provider Business Practice Location Address
First Line	:	840 W BAYOU PINES DR STE B
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70601-7495
Country	:	US
Telephone Number	:	318-542-9367
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	MR. MARK ANTHONY BROWN
Credential	:
Telephone Number	:	318-542-9367

Provider Enumeration Date	:	04/20/2013
Last Update Date	:	04/20/2013

Similar Medicare Providers

1649645680 — BRITNEY COLQUITT
Practice Location Address:

840 W BAYOU PINES DR , SUITE B
LAKE CHARLES, LA
70601-7495

Practice Phone: 337-491-1740
Practice Fax: 337-491-1741

1184099129 — TAURA AUSTIN
Practice Location Address:

840 W BAYOU PINES DR , SUITE B
LAKE CHARLES, LA
70601-7495

Practice Phone: 337-491-1740
Practice Fax: 337-491-1741

1497220123 — ERIN O'BRIEN ATC
Practice Location Address:

1200 S MCHENRY AVE
CRYSTAL LAKE, IL
60014-7495

Practice Phone: 815-455-3860
Practice Fax:

1235727041 — TEST WELL, LLC
Practice Location Address:

1233 SKI RUN BLVD # 4
SOUTH LAKE TAHOE, CA
96150-7495

Practice Phone: 530-556-4226
Practice Fax:

1760131767 — KAYLA BELLARD
Practice Location Address:

2110 OAK PARK BLVD
LAKE CHARLES, LA
70601-7864

Practice Phone: 337-300-1031
Practice Fax: 337-475-8917

1780471797 — BEYOND SPEECH THERAPY LLC
Practice Location Address:

651 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA
70601-5726

Practice Phone: 337-563-3531
Practice Fax: 337-557-8168

Directions to “PREMIER REHAB OF SOUTHWEST LOUISIANA LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.