Organization
SAGE LTAC LLC
Active
Organization
SAGE LTAC LLC
Active
Other names
Sage Specialty Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT SANDIFER (AGENT)
(225) 368-3181
Entity
Organization
Contact information
Practice address
8375 FLORIDA BLVD, DENHAM SPRINGS, LA 70726-7806
(225) 368-3181
Mailing address
10615 JEFFERSON HWY, BATON ROUGE, LA 70809-7230
(225) 368-3181
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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