| Rehabilitation Services Of Southwest Louisiana, Llc | |
|
751 Bayou Pines East Dr Ste C Lake Charles LA 70601-7196 | |
| (337) 433-3292 | |
| Not Available |
| Full Name | Rehabilitation Services Of Southwest Louisiana, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 751 Bayou Pines East Dr Ste C, Lake Charles, Louisiana |
| Authorized Official Name and Position | Kyle Jacob (COO) |
| Authorized Official Contact | 3187460420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rehabilitation Services Of Southwest Louisiana, Llc 1000 Chinaberry Dr Ste 900 Bossier City LA 71111-2455 Ph: (318) 746-0420 | Rehabilitation Services Of Southwest Louisiana, Llc 751 Bayou Pines East Dr Ste C Lake Charles LA 70601-7196 Ph: (337) 433-3292 |
| NPI Number | 1366777229 |
|---|---|
| Provider Enumeration Date | 10/11/2009 |
| Last Update Date | 07/24/2023 |
| Certification Date | 07/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366777229 | NPI | - | NPPES |
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