Organization
IBERVILLE CARDIAC REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA GIZZELA HENRY M.S. (OWNER)
(504) 812-2455
Entity
Organization
Contact information
Practice address
59350 RIVER WEST DR, SUITE 104, PLAQUEMINE, LA 70764-6553
(504) 812-2455
Mailing address
59350 RIVER WEST DR, SUITE 104, PLAQUEMINE, LA 70764-6553
Taxonomy
Speciality
Code
Description
License number
State
261QR0404X
Cardiac Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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