NPI 1073818399

Premier Rehab

Organisation Adult Care Home Facility Luling, LA

Practice location

Address: 1125 Paul Maillard Rd, Luling, LA 70070-4351
Phone: (985) 785-8271
Fax: (985) 785-9944
Mailing address: 211 E Worthy St Building 4, Gonzales, LA 70737-4232

Authorised official

Name: Bridget Redmond
Title: Ceo
Phone: (225) 644-7044

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 1841 (LA)

Other Custodial Care Facility providers in Louisiana →

Registry record

NPI: 1073818399
Entity type: Organization
NPI issued: 18 Jan 2011
Record last updated: 18 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.