Organization
TASS BRAIN INJURY REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE LENTZ (DIRECTOR/OWNER)
(985) 370-0323
Entity
Organization
Contact information
Practice address
42215 PLEASANT RG EXT, PONCHATOULA, LA 70454-4723
(985) 370-0323
(985) 370-0324
Mailing address
42215 PLEASANT RG EXT, PONCHATOULA, LA 70454-4723
(985) 370-0323
(985) 370-0324
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
005
LA
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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