# RENAISSANCE REHABILITATION CENTER OF HOUMA, INC

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

## Provider details

- **NPI number:** 1205809431
- **Authorized official:** DERON J BLAND PT (OWNER/PRESIDENT)
- **Authorized official phone:** (985) 876-9555

## Contact information

- **Practice address:** 1322 SAINT CHARLES ST, HOUMA, LA 70360-3961
- **Practice address phone:** (985) 876-9555
- **Practice address fax:** (985) 876-0180
- **Mailing address:** 1322 SAINT CHARLES ST, HOUMA, LA 70360-3961
- **Mailing address phone:** (985) 876-9555
- **Mailing address fax:** (985) 876-0180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 00677 | LA | — |
| 225X00000X | Occupational Therapist | Z10831 | LA | Yes |

## Other

- **Enumeration date:** 02/08/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1124401 | — | LA |
| 01 | — | B7842 | BLUE CROSS INSURANCE NO | LA |