Organization
LTAC HOSPITAL OF WASHINGTON- ST. TAMMANY LLC
Active
Other names
Slidell-AMG Specialty Hospital Bogalusa Campus
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN D. HARGRAVE (DIRECTOR OF BILLING)
(337) 269-9828
Entity
Organization
Contact information
Practice address
621 COLUMBIA ST, BOGALUSA, LA 70427-4721
(985) 732-4402
(985) 732-4708
Mailing address
101 LA RUE FRANCE, SUITE 500, LAFAYETTE, LA 70508-3144
(337) 269-9828
(337) 234-1075
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
584
LA
Other
Enumeration date
05/28/2009
Last updated
02/11/2014
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