# RUSTON NURSING REHABILITATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144628025
- **Authorized official:** MRS. AMANDA WEIR (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (318) 255-5001

## Contact information

- **Practice address:** 3720 HIGHWAY 80, RUSTON, LA 71270-8943
- **Practice address phone:** (318) 255-5001
- **Practice address fax:** (318) 254-1387
- **Mailing address:** 3720 HIGHWAY 80, RUSTON, LA 71270-8943
- **Mailing address phone:** (318) 255-5001
- **Mailing address fax:** (318) 254-1387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 12/09/2014
- **Last updated:** 12/09/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0052212 | — | LA |