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Contact Information

FUNCTIONAL REHABILITATION CENTER, LLC
4520 WICHERS DR
SUITE202
MARRERO, LA70072-3135
 Phone: 504-324-4337
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for FUNCTIONAL REHABILITATION CENTER, LLC

NPI # 1104068576
LBN Legal business name FUNCTIONAL REHABILITATION CENTER, LLC
Authorized official CHARLES SCHLOSSER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/01/2009
Last updated 06/17/2010 - About 16 years ago
Identifiers
LA License # 026430
LA Medicaid 1038067
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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