| NPI | 1700876414 |
|---|---|
| Doing Business As | GULF STATES LTAC OF FELICIANA |
| Entity Type | Organization |
| Authorized Contact | EUGENE E. SMITH President And COO 225-216-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282E00000X (Licence: LA 462) |
| Additional Taxonomies | 284300000X Special Hospital (Licence: LA 462) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2009-02-11 |