Provider Demographics
NPI:1972590271
Name:LAPLACE REHABILITATION HOSPITAL, LLC.
Entity Type:Organization
Organization Name:LAPLACE REHABILITATION HOSPITAL, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & COO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAMIAN
Authorized Official - Middle Name:KIRK
Authorized Official - Last Name:SOILEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-216-2299
Mailing Address - Street 1:508 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-3940
Mailing Address - Country:US
Mailing Address - Phone:985-659-8447
Mailing Address - Fax:985-653-7869
Practice Address - Street 1:508 W 5TH ST
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-3940
Practice Address - Country:US
Practice Address - Phone:985-659-8447
Practice Address - Fax:985-653-7869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA447283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1702005Medicaid
LA1702005Medicaid