Organization
DELTA REHAB SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STAN E RICHARDSON LOTR (MEMBER CO OWNER)
(318) 452-5166
Entity
Organization
Contact information
Practice address
2200 MEMORIAL DR, ALEXANDRIA, LA 71301-3611
(318) 452-5166
Mailing address
PO BOX 180, LIBUSE, LA 71348
(318) 452-5166
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/25/2008
Last updated
06/17/2008
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