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SAGE LTAC LLC

Hospitals Special Hospital

Provider NPI: 1700302197

Organization Information:
Organization Name:  SAGE LTAC LLC
Organization is not Subpart
Authorized Official:  GEOFFREY  MORTHLAND  GENERAL COUNSEL  225-368-3181

Practice Location:
8375 FLORIDA BLVD  DENHAM SPRINGS, LA 70726-7806 US
Tel: 225-665-2664  Fax: --

Business Mailing Address:
10615 JEFFERSON HWY  BATON ROUGE, LA 70809-7230 US
Tel: 225-368-3181  Fax: --

NPI Information:
NPI: 1700302197
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N284300000XHospitals
Special Hospital
Y282E00000XHospitals
Long Term Care Hospital

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 282E00000X

Type:

Classification:



Definition:



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