Organization
PROGRESSIVE ACUTE CARE DAUTERIVE, LLC
Active
Other names
DAUTERIVE HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE THOMPSON (CFO)
(985) 624-7401
Entity
Organization
Contact information
Practice address
600 N LEWIS ST, NEW IBERIA, LA 70563-2043
(337) 365-7311
(337) 374-4104
Mailing address
600 N LEWIS ST, NEW IBERIA, LA 70563-2043
(337) 365-7311
(337) 374-4104
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60673
BCBS-REHAB
LA
Enumeration date
05/22/2006
Last updated
07/08/2013
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