Organization
DIVERSIFIED REHABILITATION SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA LANG (OFFICE MANAGER)
(225) 810-6130
Entity
Organization
Contact information
Practice address
19637 CAPE HART CT, BATON ROUGE, LA 70809-6727
(225) 756-2700
Mailing address
2900 WESTFORK DR STE 42, BATON ROUGE, LA 70827-0010
(225) 756-2700
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
12265
LA
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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