Organization
THE NEURO MEDICAL CENTER REHABILITATION HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY MIX (CFO)
(225) 906-3822
Entity
Organization
Contact information
Practice address
10101 PARK ROWE AVE, STE 600, BATON ROUGE, LA 70810
(225) 906-2999
(225) 906-3837
Mailing address
10101 PARK ROWE AVE STE 500, BATON ROUGE, LA 70810-1685
(225) 906-2999
(225) 906-3837
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
560
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1704059
—
LA
01
—
61330
BLUE CROSS BLUE SHIELD
LA
Enumeration date
07/24/2006
Last updated
04/02/2019
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