Organization
NEUROLOGICAL REHABILITATION LIVING CENTERS OF LOUISIANA
Active
Parent organization
NEUROLOGICAL REHABILITATION LIVING CENTERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEUROLOGICAL REHABILITATION LIVING CENTERS
Authorized official
MS. CHRISTIN MOSES B.S., CBIS, CCM (CLINICAL DIRECTOR)
(985) 875-3100
Entity
Organization
Contact information
Practice address
614 W 18TH AVE, COVINGTON, LA 70433-3063
(985) 875-3100
(985) 875-3103
Mailing address
614 W 18TH AVE, COVINGTON, LA 70433-3063
(985) 875-3100
(985) 875-3103
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
003
LA
261QR0400X
Rehabilitation Clinic/Center
003
LA
283X00000X
Rehabilitation Hospital
Primary
003
LA
Other
Enumeration date
04/30/2012
Last updated
10/02/2014
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