Organization
GULF STATES LONG TERM ACUTE CARE OF DENHAM SPRINGS, LLC
Active
Other names
Gulf States LTAC of Denham Springs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE E. SMITH (PRESIDENT & COO)
(225) 216-2299
Entity
Organization
Contact information
Practice address
8375 FLORIDA BLVD, DENHAM SPRINGS, LA 70726-7806
(225) 665-2664
(225) 665-0736
Mailing address
8375 FLORIDA BLVD, DENHAM SPRINGS, LA 70726-7806
(225) 665-2664
(225) 665-0736
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
530
LA
284300000X
Special Hospital
530
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1749036
—
LA
01
—
60738
BLUE CROSS OF LA.
LA
Enumeration date
11/16/2005
Last updated
02/11/2009
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