Organization
LOUISIANA HEALTH AND REHAB CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOUNDRA TEMPLE JOHNSON (EXECUTIVE DIRECTOR)
(225) 231-2490
Entity
Organization
Contact information
Practice address
2056 NORTH BLVD, BATON ROUGE, LA 70806-3674
(225) 343-3438
(225) 343-1511
Mailing address
2121 WOODDALE BLVD, BATON ROUGE, LA 70806-1442
(225) 231-2490
(225) 231-2775
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
420
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2118161
—
LA
Enumeration date
02/16/2012
Last updated
02/16/2012
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