Organization
HEALTH REHAB MANAGEMENT GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY JOHNSON (OWNER)
(504) 303-4177
Entity
Organization
Contact information
Practice address
2074 BECK ST, NEW ORLEANS, LA 70131-3506
(504) 234-2267
Mailing address
2703 GENERAL DEGAULLE DR, SUITE B, NEW ORLEANS, LA 70114-6222
(504) 303-4177
(504) 208-3373
Taxonomy
Speciality
Code
Description
License number
State
261QR0404X
Cardiac Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2403885
—
LA
01
—
432417
MEDICARE PTAN
LA
Enumeration date
07/02/2015
Last updated
12/07/2015
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