| NPI | 1720026727 |
|---|---|
| Other Name | BAYOU STATE MEDICAL AND REHAB CLINIC |
| Entity Type | Organization |
| Authorized Contact | FREDA M MILLS Office Manager 337-546-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-08-22 |