Provider Demographics
NPI:1649517723
Name:CRANE REHAB CENTER
Entity type:Organization
Organization Name:CRANE REHAB CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:CRANE
Authorized Official - Suffix:
Authorized Official - Credentials:LOT R
Authorized Official - Phone:504-866-6990
Mailing Address - Street 1:101 RIVER ROAD
Mailing Address - Street 2:112
Mailing Address - City:JEFFERSON
Mailing Address - State:LA
Mailing Address - Zip Code:70121
Mailing Address - Country:US
Mailing Address - Phone:504-828-7696
Mailing Address - Fax:504-828-8935
Practice Address - Street 1:3105 18TH ST
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-4904
Practice Address - Country:US
Practice Address - Phone:504-866-6990
Practice Address - Fax:504-866-6991
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CRANE REHAB CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-01-10
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty