Organization
SAGE LTAC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK MITCHELL (MANAGER)
(225) 368-3181
Entity
Organization
Contact information
Practice address
8375 FLORIDA BLVD, DENHAM SPRINGS, LA 70726-7806
(225) 665-2664
Mailing address
10615 JEFFERSON HWY, BATON ROUGE, LA 70809-7230
(225) 368-3181
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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