National Provider Identifier Database

IMPAC REHABILITATION INC
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)


Contact Information

IMPAC REHABILITATION, INC
4937 HEARST STREET
SUITE 2-F
METAIRIE, LA70001
Phone: 504-779-0400
Fax:
Website:
Specialty Taxonomy Code
* Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

* Indicates primary specialty

NPI Profile & details for IMPAC REHABILITATION, INC

NPI Number 1831187863
Legal business name
LBN
IMPAC REHABILITATION, INC
Authorized official MARY MCVAY - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/13/2005
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • LA Medicaid: 1438413

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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