Iberville Rehabilitation Services Inc. | |
33570 Bowie St White Castle LA 70788-2406 | |
(225) 545-0130 | |
(225) 545-0131 |
Full Name | Iberville Rehabilitation Services Inc. |
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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 |
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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 |
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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 |