# PREMIER REHAB

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073818399
- **Authorized official:** BRIDGET REDMOND (CEO)
- **Authorized official phone:** (225) 644-7044

## Contact information

- **Practice address:** 1125 PAUL MAILLARD RD, LULING, LA 70070-4351
- **Practice address phone:** (985) 785-8271
- **Practice address fax:** (985) 785-9944
- **Mailing address:** 211 E WORTHY ST, BUILDING 4, GONZALES, LA 70737-4232
- **Mailing address phone:** (225) 644-7044
- **Mailing address fax:** (225) 644-4414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 1841 | LA | Yes |

## Other

- **Enumeration date:** 01/18/2011
- **Last updated:** 01/18/2011