| Southwest Louisiana Rehab, Llc | |
|
300 S 1st St Leesville LA 71446-4373 | |
| (318) 542-9367 | |
| (318) 445-1098 |
| Full Name | Southwest Louisiana Rehab, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 300 S 1st St, Leesville, Louisiana |
| Authorized Official Name and Position | Mark Anthony Brown (CFO) |
| Authorized Official Contact | 3185429367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Louisiana Rehab, Llc P.o. Box 134043 Alexandria LA 71315-3043 Ph: (318) 542-9367 | Southwest Louisiana Rehab, Llc 300 S 1st St Leesville LA 71446-4373 Ph: (318) 542-9367 |
| NPI Number | 1881133296 |
|---|---|
| Provider Enumeration Date | 02/17/2017 |
| Last Update Date | 02/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881133296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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