NPI 1528507068

Genesis Life LLC

Organisation Substance Use Disorder Rehabilitation Hospital Unit Lacassine, LA

Practice location

Address: 21089 South Frontage Road, Lacassine, LA 70650
Phone: (337) 936-9197
Fax: (337) 588-4179
Mailing address: PO Box 1967, Iowa, LA 70647-1967

Authorised official

Name: Kelvin M Smith
Title: Administrator
Phone: (337) 936-9197

Registered specialties

Substance Use Disorder Rehabilitation Hospital Unit Primary

Hospital Units Taxonomy 276400000X

Other Rehabilitation, Substance Use Disorder Unit providers in Louisiana →

Registry record

NPI: 1528507068
Entity type: Organization
NPI issued: 16 Feb 2017
Record last updated: 16 Feb 2017

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.