ACTIVE REHAB LLC
Ambulatory Health at Park St, Crowley, LA

License number
Louisiana 12515
Category
Ambulatory Health
Type
Adult Day Care
Owner
Name: MR. E PAUL BROUSSARD
Title: CFO
Phone: (337) 788-3600
Address
Address
318 E Park St, Crowley, LA 70526
National Provider ID: 1417946070
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ACTIVE REHAB LLC at bizstanding.com

ACTIVE REHAB, LLC

Crowley, LA

Status:
Inactive
Industry:
Individual/Family Services Specialty Outpatient Clinic Health Practitioner's Office
Doing business as:
Active Rehab
Registration:
Feb 17, 2000
Addresses:
318 E Park St, Crowley, LA 70526 (Physical)
PO Box 370, Crowley, LA 70527
112 E Hutchinson Ave, Crowley, LA 70526
State ID:
34893138K
Business type:
Limited Liability Company
Chief Financial Officer, Members:
Ii E. Paul Broussard (Member), 148 Sylvia Ln, Estherwood, LA 70534 (Physical),Kevin Victor Broussard (Member, Assistant Administrator), 423 E 4 St, Crowley, LA 70526 (Physical),E. P. Broussard (Chief Financial Officer, Member)

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