Provider Demographics
NPI:1962710384
Name:METROPOLITAN COMPREHENSIVE REHABILITATION
Entity type:Organization
Organization Name:METROPOLITAN COMPREHENSIVE REHABILITATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING GENERAL PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:BURKHALTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-298-5856
Mailing Address - Street 1:5050 W. ANDREWS CIR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70128-0000
Mailing Address - Country:US
Mailing Address - Phone:337-298-5856
Mailing Address - Fax:337-504-2416
Practice Address - Street 1:5050 W. ANDREWS CIR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70128-0000
Practice Address - Country:US
Practice Address - Phone:337-298-5856
Practice Address - Fax:337-504-2416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-20
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit