Organization
ROCKWALL BATON ROUGE REHABILITATION HOSPITAL, LP
Active
Other names
Sage Rehabilitation Hospital Skilled Nursing Facility
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE GRANDEAU VICE PRESIDENT (REVENUE CYCLE OPERATIONS)
(972) 479-1380
Entity
Organization
Contact information
Practice address
8000 SUMMA AVE, BATON ROUGE, LA 70809-3423
(225) 819-0703
Mailing address
1100 E CAMPBELL RD, SUITE 200, RICHARDSON, TX 75081-6708
(972) 479-1380
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
653
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
653
LA LICENSE
LA
Enumeration date
08/20/2009
Last updated
08/20/2009
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