Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CarePROFESSIONAL REHABILITATION HOSPITAL LLC
Long Term Care Hospital
Vidalia, Louisiana
Provider NPI: 1518929926
Organization Information:Organization Name: PROFESSIONAL REHABILITATION HOSPITAL LLC
Practice Location:
209 FRONT ST VIDALIA, LA 71373 US
Tel: 318-336-6500 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
209 FRONT ST VIDALIA, LA 71373 US
Tel: 318-336-6500 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 282E00000X | Hospitals Long Term Care Hospital | LA | 518 |
| Y | 282E00000X | Hospitals Long Term Care Hospital | LA | 654 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 1764914 | LA | 05 | |
| BLUE CROSS PROVIDER # | 60973 | LA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin