| Rehabilitation Services Of Louisiana, Llc | |
|
2401 West St Winnsboro LA 71295-3842 | |
| (318) 435-4651 | |
| Not Available |
| Full Name | Rehabilitation Services Of Louisiana, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2401 West St, Winnsboro, Louisiana |
| Authorized Official Name and Position | Christopher Quentin Mudd (CEO) |
| Authorized Official Contact | 3187423408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rehabilitation Services Of Louisiana, Llc 816 Benton Rd Bossier City LA 71111-3744 Ph: () - | Rehabilitation Services Of Louisiana, Llc 2401 West St Winnsboro LA 71295-3842 Ph: (318) 435-4651 |
| NPI Number | 1508301912 |
|---|---|
| Provider Enumeration Date | 12/21/2016 |
| Last Update Date | 12/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508301912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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