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Organization

LTAC HOSPITAL OF LOUISIANA - DENHAM SPRINGS, LLC

Active
Other names
LTAC of Denham Springs
Organization subpart
No

Provider details

NPI number
Authorized official
DAWN D. HARGRAVE (DIRECTOR OF PATIENT FINANCIAL SERV.)
(337) 269-9566
Entity
Organization

Contact information

Practice address
8375 FLORIDA BLVD, DENHAM SPRINGS, LA 70726-7806
(225) 665-2664
(225) 665-0736
Mailing address
101 LA RUE FRANCE STE 500, LAFAYETTE, LA 70508-3144
(337) 269-9566
(337) 234-1075

Taxonomy

Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
530
LA
284300000X
Special Hospital
530
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1749036
LA
Enumeration date
04/28/2009
Last updated
08/19/2010
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