Organization
ACADIA REHABILITATION HOSPITAL, LLC
Active
Other names
Rehabilitation Hospital of Jennings
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R. HOLLAND M.D. (CEO)
(337) 824-3819
Entity
Organization
Contact information
Practice address
ONE HOSPITAL DRIVE, SUITE 101, JENNINGS, LA 70546-3641
(337) 821-5353
(337) 821-5366
Mailing address
ONE HOSPITAL DRIVE, SUITE 101, JENNINGS, LA 70546-3641
(337) 821-5353
(337) 821-5366
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
452
LA
283X00000X
Rehabilitation Hospital
HO0004069
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700088
—
LA
01
—
60230
BLUE CROSS OF LA. PROVIDE
LA
Enumeration date
06/21/2005
Last updated
11/09/2011
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