Organization Name: | B & B OF MARION DBA RAYVILLE RECOVERY |
NPI Number: | 1093970881 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PHILLIP BRANCH (CFO) |
Mailing Address: | 307 Hayes St Rayville |
State: | LA US |
Postal Code: | 712692531 |
Phone Number: | 3187285488 |
Fax Number: | 3187286828 |
NPI Enumeration Date: | 07/22/2008 |
NPI Last Update Date: | 07/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 283X00000X |
License Number: | 411 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Rehabilitation Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |