# TASS BRAIN INJURY REHABILITATION CENTER

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

## Provider details

- **NPI number:** 1538438015
- **Authorized official:** SUZANNE LENTZ (DIRECTOR/OWNER)
- **Authorized official phone:** (985) 370-0323

## Contact information

- **Practice address:** 42215 PLEASANT RG EXT, PONCHATOULA, LA 70454-4723
- **Practice address phone:** (985) 370-0323
- **Practice address fax:** (985) 370-0324
- **Mailing address:** 42215 PLEASANT RG EXT, PONCHATOULA, LA 70454-4723
- **Mailing address phone:** (985) 370-0323
- **Mailing address fax:** (985) 370-0324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 005 | LA | Yes |

## Other

- **Enumeration date:** 12/29/2011
- **Last updated:** 12/29/2011