| Bayou Rapides Rehab, Llc | |
|
3620 Bayou Rapides Rd Alexandria LA 71303-3653 | |
| (318) 561-2010 | |
| (318) 561-0098 |
| Full Name | Bayou Rapides Rehab, Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 3620 Bayou Rapides Rd, Alexandria, Louisiana |
| Authorized Official Name and Position | Jodie Lincoln Roberts (DIRECTOR) |
| Authorized Official Contact | 3185612010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayou Rapides Rehab, Llc Po Box 12368 Alexandria LA 71315-2368 Ph: (318) 561-2010 | Bayou Rapides Rehab, Llc 3620 Bayou Rapides Rd Alexandria LA 71303-3653 Ph: (318) 561-2010 |
| NPI Number | 1003920414 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003920414 | NPI | - | NPPES |
| 1434507 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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