Organization
RIVERSIDE NURSING HOME, LLC
Active
Other names
OUACHITA HEALTHCARE AND REHABILIATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KIM DELATTE (COMPTROLLER)
(225) 664-6697
Entity
Organization
Contact information
Practice address
7950 MILLHAVEN ROAD, MONROE, LA 71203-9008
(318) 737-1117
(318) 388-2909
Mailing address
301 VETERANS BLVD, DENHAM SPRINGS, LA 70726-4722
(225) 664-6697
(225) 667-2843
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
957
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517810
—
LA
Enumeration date
10/05/2011
Last updated
09/05/2013
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