Organization
HOLISTIC EDUCATIONAL REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LA SHUN SENEL DOYLE LAC (DIRECTOR)
(504) 367-6630
Entity
Organization
Contact information
Practice address
2100 BELLE CHASE HWY, GRETNA, LA 70053-6651
(504) 367-6630
(504) 367-6601
Mailing address
2100 BELLE CHASE HWY, GRETNA, LA 70053-6651
(504) 367-6630
(504) 367-6601
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
12455
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12455
—
LA
Enumeration date
12/09/2008
Last updated
12/09/2008
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