Organization
RUSTON NURSING REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA WEIR (BUSINESS OFFICE MANAGER)
(318) 255-5001
Entity
Organization
Contact information
Practice address
3720 HIGHWAY 80, RUSTON, LA 71270-8943
(318) 255-5001
(318) 254-1387
Mailing address
3720 HIGHWAY 80, RUSTON, LA 71270-8943
(318) 255-5001
(318) 254-1387
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052212
—
LA
Enumeration date
12/09/2014
Last updated
12/09/2014
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