Holistic Educational Rehab Center in Terrytown - Point Of Service
Holistic Educational Rehab Center - NPI 1790902948
Holistic Educational Rehab Center is a Point Of Service in Terrytown, Louisiana. Holistic Educational Rehab Center practices all healthcare services and medical treatments related to Point Of Service. The NPI Number for Holistic Educational Rehab Center is 1790902948. The last update date is 2009-02-09.
Holistic Educational Rehab Center's current location address is 1799 Stumpf Blvd, Terrytown, Louisiana. You can contact this provider via phone number 5049156596. The mailing address for Holistic Educational Rehab Center is 1799 Stumpf Blvd, Terrytown, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Holistic Educational Rehab Center |
|---|---|
| Address | 1799 Stumpf Blvd, Terrytown, Louisiana |
| Phone Number | 5049156596 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Campbell Doyle Lashun |
| Telephone Number | 1504915659 |
NPI Number Detail
| NPI Number | 1790902948 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2009-02-09 |
Provider Mailing Address Detail
| Address | 1799 Stumpf Blvd |
|---|---|
| City | Terrytown |
| State | Louisiana (LA) |
| Post Code | 700563950 |
| Phone Number | 5049156596 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Point Of Service |
|---|---|
| Taxonomy | 305S00000X |
| Licence No | 12455 |
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Definition: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1194883 | LA | -- |
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What is the unique 10-digit identification code assigned to Holistic Educational Rehab Center by the Centers for Medicare & Medicaid Services?
The Holistic Educational Rehab Center has been issued the NPI (National Provider Identifier) 1790902948, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Holistic Educational Rehab Center located?
The Holistic Educational Rehab Center is located at 1799 Stumpf Blvd, Terrytown, LA 700563950.
What is Holistic Educational Rehab Center's specialized field of practice, and what is the corresponding taxonomy classification code?
The Holistic Educational Rehab Center's area of specialization is Point Of Service, and the corresponding taxonomy code that categorizes this field of practice is 305S00000X.
When did the Holistic Educational Rehab Center receive its 1790902948?
The Holistic Educational Rehab Center was issued its 1790902948 on 2007-04-19, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Holistic Educational Rehab Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Holistic Educational Rehab Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-02-09.
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