| NPI | 1205876695 |
|---|---|
| Doing Business As | GULF STATES LTAC OF LAFOURCHE |
| Entity Type | Organization |
| Authorized Contact | DAMIAN KIRK SOILEAU President And COO 225-216-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282E00000X (Licence: LA 613) |
| Additional Taxonomies | 284300000X Special Hospital (Licence: LA 613) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2020-08-22 |