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Contact Information

KAILO LTAC HOSPITAL, LLC
713 N AVENUE L
CROWLEY, LA70526-3832
 Phone: 337-783-2859
 Fax: 337-783-2891
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Special Hospital

284300000X A0[7] Hospital-Specialty Hospital (cardiac, orthopedic, surgical)
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
Indicates primary specialty

NPI Profile & details for KAILO LTAC HOSPITAL, LLC

NPI Number 1457313827
LBN Legal business name KAILO LTAC HOSPITAL, LLC
Authorized official E. PAUL BROUSSARD - (CEO/CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2006
Last updated 01/22/2013 - About 13 years ago
Identifiers
LA License # 532
LA Medicaid 1703109
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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