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East Louisiana State Hospital
Psychiatric Hospital in Jackson, Louisiana
NPI 1043206543

East Louisiana State Hospital is a Psychiatric Hospital based in Jackson, LA. East Louisiana State Hospital practices in Jackson, LA. The NPI Number for East Louisiana State Hospital is 1043206543 and holds a License No. 201 (Louisiana).

The current practice location address for East Louisiana State Hospital is 4502 Highway 951, Jackson, LA and can be reached out via phone at 225-634-0533 and via fax at 225-634-5827.

Location: 4502 Highway 951, Jackson, LA, 70748-0498
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043206543
Provider Name
East Louisiana State Hospital
Credential
Provider Entity Type
Organization
Address
4502 Highway 951, Jackson, LA, 70748-0498
Phone Number
225-634-0533
Fax Number
225-634-5827
Provider Enumeration Date
09/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1710016 05 LA
institution
Provider Business Practice Location Address Details
Address
4502 Highway 951
City
Jackson
State
Louisiana
Zip
70748-0498
Phone Number
225-634-0533
Fax Number
225-634-5827
person
Provider Business Mailing Address Details
Address
4502 Highway 951
City
Jackson
State
Louisiana
Zip
70748-0498
Phone Number
225-634-0533
Fax Number
225-634-5827
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
283Q00000X
License No.
201 (Louisiana)
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
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