Organization
REHAB SERVICES OF CENLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA DEKLE (REGIONAL MANAGER)
(318) 484-4414
Entity
Organization
Contact information
Practice address
103 N 5TH ST, LEESVILLE, LA 71446-4025
(337) 238-4350
Mailing address
2525 YOUREE DR, SHREVEPORT, LA 71104-3671
(318) 675-0804
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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