Organization
ROCKWALL BATON ROUGE REHAB HOSPITAL LP
Active
Other names
Sage Rehabilitation Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH J. IVY (CEO)
(225) 906-4884
Entity
Organization
Contact information
Practice address
8000 SUMMA AVENUE, BATON ROUGE, LA 70809
(225) 819-0703
(225) 906-4085
Mailing address
8000 SUMMA AVENUE, BATON ROUGE, LA 70809
(225) 819-0703
(225) 906-4085
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
653
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700576
—
LA
Enumeration date
03/19/2009
Last updated
09/29/2009
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