NPI | 1265422976 |
---|---|
Doing Business As | GULF STATES LTAC OF HOUMA - ST. ANNE CAMPUS |
Entity Type | Organization |
Authorized Contact | DAMIAN KIRK SOILEAU President & COO 225-216-2299 |
Organization Subpart ? | No |
Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: LA 473) |
Additional Taxonomies | 284300000X Special Hospital (Licence: LA 473) |
Enumeration Date | 2005-10-24 |
Last Update Date | 2020-08-22 |