Organization
SOUTHWEST LOUISIANA REHAB, LLC
Active
Other names
Southwest Louisiana Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ANTHONY BROWN (CFO)
(318) 542-9367
Entity
Organization
Contact information
Practice address
300 S 1ST ST, LEESVILLE, LA 71446-4373
(318) 542-9367
(318) 445-1098
Mailing address
P.O. BOX 134043, ALEXANDRIA, LA 71315-3043
(318) 542-9367
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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