NPI 1457313827

Kailo Ltac Hospital, LLC

Organisation Special Hospital Crowley, LA

Practice location

Address: 713 N Avenue L, Crowley, LA 70526-3832
Phone: (337) 783-2859
Fax: (337) 783-2891

Authorised official

Name: E. Paul Broussard
Title: Ceo/Cfo
Phone: (337) 788-3600

Registered specialties (2)

Special Hospital Primary

Hospitals Taxonomy 284300000X Licence 532 (LA)

Other Special Hospital providers in Louisiana →

Mental Health Clinic/Center (Including Community Mental Health Center)

Ambulatory Health Care Facilities Taxonomy 261QM0801X Licence 532 (LA)

Other Clinic/Center providers in Louisiana →

Registry record

NPI: 1457313827
Entity type: Organization
NPI issued: 3 Apr 2006
Record last updated: 22 Jan 2013

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.