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Organization
PREMIER REHAB
Active
Organization
PREMIER REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET REDMOND (CEO)
(225) 644-7044
Entity
Organization
Contact information
Practice address
1125 PAUL MAILLARD RD, LULING, LA 70070-4351
(985) 785-8271
(985) 785-9944
Mailing address
211 E WORTHY ST, BUILDING 4, GONZALES, LA 70737-4232
(225) 644-7044
(225) 644-4414
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
1841
LA
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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