Organization
IBERVILLE REHABILITATION SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH MCSWAIN BS., MA (DIRECTOR)
(225) 545-0130
Entity
Organization
Contact information
Practice address
33570 BOWIE ST, WHITE CASTLE, LA 70788-2406
(225) 545-0130
(225) 545-0131
Mailing address
PO BOX 515, WHITE CASTLE, LA 70788-0515
(225) 545-0130
(225) 545-0131
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1156108
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1156108
—
LA
Enumeration date
04/16/2007
Last updated
05/23/2012
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