# DELTA REHAB SERVICES, LLC

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

## Provider details

- **NPI number:** 1336314897
- **Authorized official:** STAN E RICHARDSON LOTR (MEMBER CO OWNER)
- **Authorized official phone:** (318) 452-5166

## Contact information

- **Practice address:** 2200 MEMORIAL DR, ALEXANDRIA, LA 71301-3611
- **Practice address phone:** (318) 452-5166
- **Mailing address:** PO BOX 180, LIBUSE, LA 71348
- **Mailing address phone:** (318) 452-5166

## Taxonomy

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

## Other

- **Enumeration date:** 04/25/2008
- **Last updated:** 06/17/2008