Provider Demographics
NPI: | 1245678929 |
---|---|
Name: | BEST REHABILITATION SERVICES, INC. |
Entity type: | Organization |
Organization Name: | BEST REHABILITATION SERVICES, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | ADMINISTRATOR |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | RODERICK |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | WILLIAMS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | OTR/L |
Authorized Official - Phone: | 225-405-4066 |
Mailing Address - Street 1: | 4521 NORTH BLVD STE A |
Mailing Address - Street 2: | |
Mailing Address - City: | BATON ROUGE |
Mailing Address - State: | LA |
Mailing Address - Zip Code: | 70806-4045 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 225-405-4066 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 4521 NORTH BLVD STE A |
Practice Address - Street 2: | |
Practice Address - City: | BATON ROUGE |
Practice Address - State: | LA |
Practice Address - Zip Code: | 70806-4045 |
Practice Address - Country: | US |
Practice Address - Phone: | 225-405-4066 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-06-04 |
Last Update Date: | 2013-06-04 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
LA | 261QR0400X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QR0400X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation |