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SANCTUARY LOUISIANA LLC

Rehabilitation, Substance Use Disorder

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Contact Information

SANCTUARY LOUISIANA LLC
21089 SOUTH FRONTAGE ROAD
LACASSINE, LA  70650-9998
 Phone: 337-936-9197
 Fax: 337-588-4179
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Rehabilitation, Substance Use Disorder

 261QR0405X
 

Addiction (Substance Use Disorder)

 101YA0400X
 

Addiction Medicine

 207RA0401X 11 Physician/Internal Medicine
 

General Practice

 208D00000X 99 Physician/Undefined Physician type[6]
 

Professional

 101YP2500X
 

Psychiatric/Mental Health

 363LP0808X 50 Nurse Practitioner
 

Rheumatology

 207RR0500X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SANCTUARY LOUISIANA LLC

NPI Number 1982215851
LBN Legal business name SANCTUARY LOUISIANA LLC
Authorized official KELVIN SMITH - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/13/2020
Last updated 08/29/2023 - About 3 years ago
Identifiers n/a
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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