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Organization
PRESTIGE REHAB
Active
Organization
PRESTIGE REHAB
Active
Other names
St. Catherine Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY BOHNE LICENSED ADMINISTRAT (ASSISTANT ADMINISTRATOR)
(504) 210-3000
Entity
Organization
Contact information
Practice address
64030 HIGHWAY 434 FL 2, LACOMBE, LA 70445-3456
(504) 210-3000
(504) 210-3006
Mailing address
14500 HAYNE BLVD STE 100, NEW ORLEANS, LA 70128-1751
(504) 210-3000
(504) 210-3006
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
—
284300000X
Special Hospital
412
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1766259
—
LA
01
—
19D0937727
CLIA
LA
Enumeration date
07/20/2006
Last updated
04/26/2019
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