Organization
DIVERSIFIED REHABILITATION SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA BATES (DIRECTOR)
(225) 756-2700
Entity
Organization
Contact information
Practice address
11760 S HARRELLS FERRY RD, STE G, BATON ROUGE, LA 70816-2374
(225) 756-2700
Mailing address
11760 S HARRELLS FERRY RD, STE G, BATON ROUGE, LA 70816-2374
(225) 756-2700
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
12265
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407036379
—
LA
Enumeration date
12/05/2007
Last updated
12/06/2007
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