Organization
BASTROP REHABILITATION HOSPITAL, LLC
Active
Parent organization
BASTROP REHABILITATION HOSPITAL, LLC
Other names
South Ouachita Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
BASTROP REHABILITATION HOSPITAL, LLC
Authorized official
WILLIAM MEANS (ADMINISTRATOR)
(318) 746-0420
Entity
Organization
Contact information
Practice address
4310 S GRAND ST STE 1, MONROE, LA 71202-6322
(318) 746-0420
(318) 752-1940
Mailing address
816 BENTON RD, BOSSIER CITY, LA 71111-3744
(318) 243-5533
(318) 752-1940
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700517
—
LA
Enumeration date
02/08/2018
Last updated
02/08/2018
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