Organization
LEESVILLE REHABILITATION HOSPITAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON CARROLL (CEO)
(337) 392-8118
Entity
Organization
Contact information
Practice address
900 S 6TH ST, LEESVILLE, LA 71446-4723
(337) 392-8118
(337) 392-8415
Mailing address
323 WEST WALNUT AVE, BASTROP, LA 71221-1531
(318) 556-8000
(318) 556-1197
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
4555
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1702951
—
LA
Enumeration date
09/30/2005
Last updated
04/28/2010
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