# RANDALL EUGENE SIMMONS

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

## Provider details

- **NPI number:** 1437567625
- **Authorized official:** RANDALL EUGENE SIMMONS (COTA)
- **Authorized official phone:** (318) 423-0297

## Contact information

- **Practice address:** 318 ACE ST, HAUGHTON, LA 71037-8774
- **Practice address phone:** (318) 423-0297
- **Mailing address:** 318 ACE ST, HAUGHTON, LA 71037-8774
- **Mailing address phone:** (318) 423-0297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 200422 | LA | Yes |

## Other

- **Enumeration date:** 07/31/2014
- **Last updated:** 07/31/2014