# RIVERSIDE NURSING HOME, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OUACHITA HEALTHCARE AND REHABILIATION CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245514546
- **Authorized official:** KIM DELATTE (COMPTROLLER)
- **Authorized official phone:** (225) 664-6697

## Contact information

- **Practice address:** 7950 MILLHAVEN ROAD, MONROE, LA 71203-9008
- **Practice address phone:** (318) 737-1117
- **Practice address fax:** (318) 388-2909
- **Mailing address:** 301 VETERANS BLVD, DENHAM SPRINGS, LA 70726-4722
- **Mailing address phone:** (225) 664-6697
- **Mailing address fax:** (225) 667-2843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 957 | LA | Yes |

## Other

- **Enumeration date:** 10/05/2011
- **Last updated:** 09/05/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1517810 | — | LA |