Organization · NPI-2
Rockwall Baton Rouge Rehab Hospital LP
Rehabilitation Hospital · Baton Rouge, LA
NPI number1942441084
StatusActive
Last updated in NPPESSep 29, 2009
Details
- NPI
- 1942441084
- Entity type
- Organization (NPI-2)
- Legal business name
- Rockwall Baton Rouge Rehab Hospital LP
- Organization subpart
- No
- Enumeration date
- Mar 19, 2009
- Last updated
- Sep 29, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 283X00000X | Rehabilitation Hospital | 653 | LA | Yes |
Other names
- Sage Rehabilitation Hospital (Doing Business As)
Practice location
8000 Summa AvenueBaton Rouge, LA 70809
Phone 225-819-0703 · Fax 225-906-4085
Mailing address
8000 Summa AvenueBaton Rouge, LA 70809
Phone 225-819-0703 · Fax 225-906-4085
Authorized official
Kenneth J. Ivy
Ceo
2259064884
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