| Iberville Rehabilitation Services Inc. | |
|
33570 Bowie St White Castle LA 70788-2406 | |
| (225) 545-0130 | |
| (225) 545-0131 |
| Full Name | Iberville Rehabilitation Services Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 33570 Bowie St, White Castle, Louisiana |
| Authorized Official Name and Position | Sarah Mcswain (DIRECTOR) |
| Authorized Official Contact | 2255450130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iberville Rehabilitation Services Inc. Po Box 515 White Castle LA 70788-0515 Ph: (225) 545-0130 | Iberville Rehabilitation Services Inc. 33570 Bowie St White Castle LA 70788-2406 Ph: (225) 545-0130 |
| NPI Number | 1124243811 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 05/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124243811 | NPI | - | NPPES |
| 1156108 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1156108 (Louisiana) | Primary |