Organization
COMMUNITY REHABILITATION HOSPITAL OF COUSHATTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLISON COOPER (ADMINISTRATOR CEO)
(318) 932-1770
Entity
Organization
Contact information
Practice address
1110 RINGGOLD AVE, SUITE B, COUSHATTA, LA 71019-9073
(318) 932-1770
(318) 932-9515
Mailing address
1110 RINGGOLD AVE, SUITE B, COUSHATTA, LA 71019-9073
(318) 932-1770
(318) 932-9515
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
476
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1702021
—
LA
Enumeration date
12/30/2006
Last updated
08/22/2020
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