Organization
IBERIA REHABILITATION HOSPITAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE E. SMITH (PRESIDENT & COO)
(225) 216-2299
Entity
Organization
Contact information
Practice address
532 JEFFERSON TERRRACE, NEW IBERIA, LA 70560-4948
(337) 364-6923
(337) 364-6924
Mailing address
532 JEFFERSON TER, NEW IBERIA, LA 70560-4948
(337) 364-6923
(337) 364-6924
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
561
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710822
—
LA
01
—
61348
BCBS
LA
Enumeration date
12/15/2005
Last updated
02/12/2009
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