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Organization
RED RIVER SLEEP CENTER, INC
Active
Organization
RED RIVER SLEEP CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY PENNER LPN, RPSGT, LPSGT (DIRECTOR OF OPERATIONS)
(318) 443-1684
Entity
Organization
Contact information
Practice address
223 WINDERMERE BLVD, ALEXANDRIA, LA 71303-3538
(318) 443-1684
(318) 427-3303
Mailing address
221 WINDERMERE BLVD, ALEXANDRIA, LA 71303-3538
(318) 443-1984
(318) 443-9799
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1442542
—
LA
Enumeration date
10/25/2005
Last updated
09/15/2022
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