Organization · NPI-2
Acadia Rehabilitation Hospital, LLC
Rehabilitation Hospital · Jennings, LA
NPI number1043216583
StatusActive
Last updated in NPPESNov 9, 2011
Details
- NPI
- 1043216583
- Entity type
- Organization (NPI-2)
- Legal business name
- Acadia Rehabilitation Hospital, LLC
- Organization subpart
- No
- Enumeration date
- Jun 21, 2005
- Last updated
- Nov 9, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 283X00000X | Rehabilitation Hospital | 452 | LA | Yes |
| 283X00000X | Rehabilitation Hospital | HO0004069 | LA |
Other names
- Rehabilitation Hospital Of Jennings (Doing Business As)
Practice location
One Hospital DriveSuite 101
Jennings, LA 70546-3641
Phone 337-821-5353 · Fax 337-821-5366
Mailing address
One Hospital DriveSuite 101
Jennings, LA 70546-3641
Phone 337-821-5353 · Fax 337-821-5366
Authorized official
Michael R. Holland
Ceo
3378243819
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