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Hospitals Special Hospital

Provider NPI: 1003836552

Organization Information:
Organization Name:  PRESTIGE REHAB
Organization is not Subpart
Authorized Official:  KIMBERLY  BOHNE  ASSISTANT ADMINISTRATOR  504-210-3000

Practice Location:
64030 HIGHWAY 434 FL 2  LACOMBE, LA 70445-3456 US
Tel: 504-210-3000  Fax: 504-210-3006

Business Mailing Address:
14500 HAYNE BLVD STE 100  NEW ORLEANS, LA 70128-1751 US
Tel: 504-210-3000  Fax: 504-210-3006

NPI Information:
NPI: 1003836552
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Special Hospital
Long Term Care Hospital

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 282E00000X





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