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Contract Details
ReMed Recovery Care Centers of Louisiana, LLC
Facility name
ReMed Recovery Care Center
Provider ID
P000000001
NPI
1568981488
Tax ID
300986799
Effective Date
5/12/2020
Last Updated
12/15/2022
Direct Contract
Yes
Term Date
3/8/2023
Status
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_453
Exhibit Attachment
Location Details
Address
614 W 18th Avenue
Covington, LA 70433
United States
Phone
484-595-3900
(
Phone
)
Billing Details
Address
614 W 18th Avenue
Covington, LA 70433
Billing Phone
484-595-3900
Specialty Type
Hospital, Rehabilitation
Website
Visit Website
Workers Comp Coordinator
Heath
Bastoe
985-551-7112
hbastoe@remed.com
Kristi
Joseph
412-661-0800
kjoseph@remed.com
Map
Address