Organization
PRESTIGE REHAB
Active
Other names
St. Catherine Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY BOHNE LICENSED ADMINISTRAT (ASSISTANT ADMINISTRATOR)
(504) 210-3000
Entity
Organization
Contact information
Practice address
64030 HIGHWAY 434 FL 2, LACOMBE, LA 70445-3456
(504) 210-3000
(504) 210-3006
Mailing address
14500 HAYNE BLVD STE 100, NEW ORLEANS, LA 70128-1751
(504) 210-3000
(504) 210-3006
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
—
284300000X
Special Hospital
412
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1766259
—
LA
01
—
19D0937727
CLIA
LA
Enumeration date
07/20/2006
Last updated
04/26/2019
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