| NPI | 1124499751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM OVERDYKE Medical Physician/ Owner 318-458-8490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283X00000X Rehabilitation Hospital (Licence: LA MD.014596) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |