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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:
Tel: 225-665-2664  Fax: --

Business Mailing Address:
Tel: 225-368-3181  Fax: --

NPI Information:
NPI: 1700302197
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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