Organization
MID-JEFFERSON EXTENDED CARE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER L. BLONDEAU JR. J.D. (MANAGER)
(225) 938-1560
Entity
Organization
Contact information
Practice address
2600 HIGHWAY 365, NEDERLAND, TX 77627
(409) 726-8700
Mailing address
10124 JEFFERSON HWY, BATON ROUGE, LA 70809-2725
(225) 293-2700
(225) 293-2730
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
007921
TX
Other
Enumeration date
03/22/2006
Last updated
06/21/2012
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