# RED RIVER COUNCIL ON AGING, INC.

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

## Provider details

- **NPI number:** 1679785976
- **Authorized official:** MS. MARY S. WAILES (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (318) 932-5721

## Contact information

- **Practice address:** 1825 FRONT STREET, COUSHATTA, LA 71019
- **Practice address phone:** (318) 932-5721
- **Practice address fax:** (318) 932-9572
- **Mailing address:** P.O. DRAWER 688, COUSHATTA, LA 71019
- **Mailing address phone:** (318) 932-5721
- **Mailing address fax:** (318) 932-9572

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 372600000X | Adult Companion | — | NULL | Yes |
| 372600000X | Adult Companion | — | — | Yes |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 09/11/2025
