| Kailo Ltac Hospital, Llc | |
|
713 N Avenue L Crowley LA 70526-3832 | |
| (337) 783-2859 | |
| (337) 783-2891 |
| Full Name | Kailo Ltac Hospital, Llc |
|---|---|
| Speciality | Special Hospital |
| Location | 713 N Avenue L, Crowley, Louisiana |
| Authorized Official Name and Position | E. Paul Broussard (CEO/CFO) |
| Authorized Official Contact | 3377883600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kailo Ltac Hospital, Llc 713 N Avenue L Crowley LA 70526-3832 Ph: (337) 783-2859 | Kailo Ltac Hospital, Llc 713 N Avenue L Crowley LA 70526-3832 Ph: (337) 783-2859 |
| NPI Number | 1457313827 |
|---|---|
| Provider Enumeration Date | 04/03/2006 |
| Last Update Date | 01/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457313827 | NPI | - | NPPES |
| 1703109 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 532 (Louisiana) | Secondary |
| 284300000X | Special Hospital | 532 (Louisiana) | Primary |
Cullen Group, L.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 426 N Avenue G, Crowley, LA 70526 Phone: 337-785-8003 Fax: 337-785-8045 | |
Mandi Laper, Lcsw, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 318 E Park St, Crowley, LA 70526 Phone: 337-280-0539 Fax: 337-785-1188 | |
Crowley Behavioral Health Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1822 W 2nd St., Crowley, LA 70526 Phone: 337-788-7511 Fax: 337-788-7588 | |
Prevost Counseling And Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 713 N Eastern Ave, Crowley, LA 70526 Phone: 337-250-3715 | |
Acadiana Hope And Wellness Center, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 19157 Crowley Eunice Hwy, Crowley, LA 70526 Phone: 337-514-2101 Fax: 337-514-2105 | |
Sabs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 318 E Park St, Crowley, LA 70526 Phone: 337-788-3600 Fax: 337-785-1188 | |
Amanda R. Dupre Lcsw Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1325 Wright Ave, Suite E, Crowley, LA 70526 Phone: 337-384-8876 Fax: 337-384-8876 |