Whalio Doctors

NPI 1528395621

Louisiana State University

Organisation Rehabilitation Clinic/Center River Ridge, LA

Practice location

Address
5213 Citrus Blvd APT S335, River Ridge, LA 70123-7229
Phone
(504) 343-2858
Fax
(504) 568-2127
Mailing address
2020 Gravier St Fl 7, New Orleans, LA 70112-2272

Authorised official

Name
Gary R Glynn
Title
Head of Section of P.M.&r.
Phone
(504) 568-4624

Registered specialties (4)

Rehabilitation Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QR0400X Licence 42398-66787 (ZZ)
Rehabilitation Hospital Unit
Hospital Units Taxonomy 273Y00000X Licence 42398-66787 (ZZ)
Long Term Care Hospital
Hospitals Taxonomy 282E00000X Licence 42398-66787 (ZZ)
Rehabilitation Hospital
Hospitals Taxonomy 283X00000X Licence 42398-66787 (ZZ)

Registry record

NPI
1528395621
Entity type
Organization
NPI issued
10 Nov 2009
Record last updated
10 Nov 2009

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.