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1710321716
PREMIER REHAB OF SOUTHWEST LOUISIANA LLC
LAKE CHARLES, LA
NPI
1710321716
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Entity Type
Organization
Authorized Contact
MARK ANTHONY BROWN
President And CEO
318-542-9367
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2013-04-20
Last Update Date
2013-04-20
Business Address
PREMIER REHAB OF SOUTHWEST LOUISIANA LLC
840 W BAYOU PINES DR STE B
LAKE CHARLES, LA 70601-7495
Phone number: 318-542-9367
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Mailing Address
PREMIER REHAB OF SOUTHWEST LOUISIANA LLC
PO BOX 13958
ALEXANDRIA, LA 71315-3958
Phone number: 318-542-9367
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