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Organization

LOUISIANA HEALTH AND REHAB CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SOUNDRA JOHNSON TEMPLE (CHIEF EXECUTIVE OFFICER)
(225) 938-0661
Entity
Organization

Contact information

Practice address
1033 N LOBDELL AVE, BATON ROUGE, LA 70806-2233
(225) 231-2490
(225) 231-2857
Mailing address
1033 N LOBDELL AVE, BATON ROUGE, LA 70806-2233
(225) 231-2490
(225) 231-2857

Taxonomy

Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
SIL 9505
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1152358
LA
Enumeration date
06/07/2007
Last updated
08/22/2020
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