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Organization
RED RIVER CENTER LLC
Active
Organization
RED RIVER CENTER LLC
Active
Other names
Rose View Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD NEAL KILLIAN (ADMINISTRATOR)
(318) 222-3100
Entity
Organization
Contact information
Practice address
3405 MANSFIELD RD, SHREVEPORT, LA 71103-4107
(318) 222-3100
(318) 222-3930
Mailing address
3405 MANSFIELD RD, SHREVEPORT, LA 71103-4107
(318) 222-3100
(318) 222-3930
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
701
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520713
—
LA
01
—
3592138
UNEMPLOYMENT INS.
LA
Enumeration date
06/27/2005
Last updated
08/17/2018
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