Organization
GREAT HANDZ REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK DANIELS (EXECUTIVE DIRECTOR)
(337) 577-2112
Entity
Organization
Contact information
Practice address
1010 PROGRESS ST, NEW IBERIA, LA 70560-4880
(337) 608-8466
Mailing address
1010 PROGRESS ST, NEW IBERIA, LA 70560-4880
(337) 608-8466
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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