Organization
CLINTON REHABILITATION HOSPITAL, LLC
Active
Other names
Gulf States LTAC of Feliciana
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE E. SMITH (PRESIDENT AND COO)
(225) 216-2299
Entity
Organization
Contact information
Practice address
9725 GRACE LN, CLINTON, LA 70722-4925
(225) 683-1600
(225) 683-1616
Mailing address
9725 GRACE LN, CLINTON, LA 70722-4925
(225) 683-1600
(225) 683-1616
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
462
LA
284300000X
Special Hospital
462
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1702013
—
LA
Enumeration date
10/24/2005
Last updated
02/11/2009
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