Organization
NRLCL II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTIN MOSES B.S., CBIS, CCM (CLINICAL DIRECTOR)
(985) 875-3100
Entity
Organization
Contact information
Practice address
804 W 25TH AVE, COVINGTON, LA 70433-1446
(985) 875-3100
(985) 875-3103
Mailing address
614 W 18TH AVE, COVINGTON, LA 70433-3063
(985) 875-3100
(985) 875-3103
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
003
LA
Other
Enumeration date
10/23/2012
Last updated
10/10/2014
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