Organization
ST CHARLES SPECIALTY REHABILITATION HOSPITAL LLC
Active
Other names
Luling Rehabilitation Hospital LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUANITA BATES BONDS (ADMINISTRATOR)
(470) 626-3295
Entity
Organization
Contact information
Practice address
8375 FLORIDA BLVD, SUITE B, DENHAM SPRINGS, LA 70726-7806
(225) 665-7100
(225) 665-7105
Mailing address
210 BARONNE ST APT 716, NEW ORLEANS, LA 70112-1745
(470) 626-3295
(225) 224-6238
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
439
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1767760
—
LA
01
—
60231
BLUE CROSS BLUE SHIELD
LA
Enumeration date
07/13/2006
Last updated
01/11/2022
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