Organization
REHAB SERVICES OF CENLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA DEEKLE (REGIONAL MANAGER)
(318) 484-4414
Entity
Organization
Contact information
Practice address
1808 S 5TH ST, LEESVILLE, LA 71446-5308
(337) 238-4350
Mailing address
2525 YOUREE DR STE 110, SHREVEPORT, LA 71104-3600
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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