Organization
MENTOR ABI, LLC
Active
Other names
NeuroRestorative Louisiana
Organization subpart
No
Provider details
NPI number
Authorized official
SERGIO P CRUZ (CFO)
(781) 708-9444
Entity
Organization
Contact information
Practice address
46406 W LEE HUGHES RD, HAMMOND, LA 70401-4757
(501) 707-3262
(501) 753-8204
Mailing address
980 WASHINGTON ST STE 306, DEDHAM, MA 02026-6797
(781) 708-9444
(501) 753-8204
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
004
LA
311Z00000X
Custodial Care Facility
004
LA
Other
Enumeration date
08/31/2006
Last updated
02/03/2021
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