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Organization

HEALTH SERVICES GROUP OF LOUISIANA, LLC

Active
Other names
Gulf States LTAC of Washington St. Tammany
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EUGENE E. SMITH (PRESIDENT AND COO)
(225) 216-2299
Entity
Organization

Contact information

Practice address
621 S COLUMBIA ST, BOGALUSA, LA 70427-4721
(985) 732-4402
(985) 732-4708
Mailing address
621 S COLUMBIA ST, BOGALUSA, LA 70427-4721
(985) 732-4402
(985) 732-4708

Taxonomy

Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
584B
LA
284300000X
Special Hospital
584B
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1766933
LA
Enumeration date
06/06/2006
Last updated
02/10/2009
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