Organization
RED RIVER COUNCIL ON AGING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY WAILES (EXECUTIVE DIRECTOR)
(318) 932-5721
Entity
Organization
Contact information
Practice address
1825 FRONT STREET, COUSHATTA, LA 71019
(318) 932-5721
Mailing address
P.O. DRAWER 688, COUSHATTA, LA 71019
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
2668
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1317314
—
LA
Enumeration date
05/07/2007
Last updated
08/22/2020
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