# HALCYON REHAB

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

## Provider details

- **NPI number:** 1558726828
- **Authorized official:** JOSEPH JOHN BROGGI (PTA)
- **Authorized official phone:** (504) 287-6802

## Contact information

- **Practice address:** 36020 WILMINGTON AVE, DENHAM SPRINGS, LA 70706-1523
- **Practice address phone:** (504) 287-6802
- **Mailing address:** 36020 WILMINGTON AVE, DENHAM SPRINGS, LA 70706-1523
- **Mailing address phone:** (504) 287-6802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | A8334 | LA | Yes |

## Other

- **Enumeration date:** 12/30/2015
- **Last updated:** 12/30/2015