Organization
RENAISSANCE REHABILITATION CENTER OF HOUMA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERON J BLAND PT (OWNER/PRESIDENT)
(985) 876-9555
Entity
Organization
Contact information
Practice address
1322 SAINT CHARLES ST, HOUMA, LA 70360-3961
(985) 876-9555
(985) 876-0180
Mailing address
1322 SAINT CHARLES ST, HOUMA, LA 70360-3961
(985) 876-9555
(985) 876-0180
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
00677
LA
225X00000X
Occupational Therapist
Primary
Z10831
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124401
—
LA
01
—
B7842
BLUE CROSS INSURANCE NO
LA
Enumeration date
02/08/2006
Last updated
09/11/2025
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