Organization
GENESIS SPECIALTY HOSPITALS II,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SISSY BRUCE (BILLER)
(318) 445-7344
Entity
Organization
Contact information
Practice address
535 COMMERCE ST STE B, GRETNA, LA 70056
(504) 391-1500
(504) 391-1501
Mailing address
3918 JACKSON STREET EXT, ALEXANDRIA, LA 71303-3007
(318) 445-7344
(318) 484-2865
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
624
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1127744
—
LA
Enumeration date
02/19/2009
Last updated
02/19/2009
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