NPI | 1134873748 |
---|---|
Doing Business As | SAGE SPECIALTY AND REHABILITATION CENTER OF LAFAYETTE |
Entity Type | Organization |
Authorized Contact | PATRICK MITCHELL Manager 225-368-3181 |
Organization Subpart ? | No |
Primary Taxonomy | 282E00000X |
Enumeration Date | 2022-02-11 |
Last Update Date | 2022-02-11 |