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Organization
RUSTON DEVELOPMENTAL CENTER
Active
Organization
RUSTON DEVELOPMENTAL CENTER
Active
Other names
SIL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET ROBINSON (DIRECTOR OF ADMINISTRATIVE SERVICES)
(318) 247-4213
Entity
Organization
Contact information
Practice address
2776 HIGHWAY 150, RUSTON, LA 71270-1500
(318) 247-4204
(318) 247-4254
Mailing address
PO BOX 907, RUSTON, LA 71273-0907
(318) 247-4204
(318) 247-4254
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
7626
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1569135
—
LA
Enumeration date
04/18/2007
Last updated
08/22/2020
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