Organization
HAVEN REHABILITATION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER A DONALIES (BUSINESS OFFICE/AR)
(318) 649-9809
Entity
Organization
Contact information
Practice address
7726 US HWY 165, COLUMBIA, LA 71418-7726
(318) 649-9809
(318) 649-9825
Mailing address
7726 US HWY 165, COLUMBIA, LA 71418-7726
(318) 649-9809
(318) 649-9825
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
010703001898
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1987204
—
LA
01
—
B2150
BC/BS PROVIDER NUMBER
LA
Enumeration date
12/05/2005
Last updated
08/22/2020
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