Organization
RED RIVER SLEEP CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY PENNER LPN, RPSGT, LPSGT (DIRECTOR OF OPERATIONS)
(318) 443-1684
Entity
Organization
Contact information
Practice address
223 WINDERMERE BLVD, ALEXANDRIA, LA 71303-3538
(318) 443-1684
(318) 427-3303
Mailing address
221 WINDERMERE BLVD, ALEXANDRIA, LA 71303-3538
(318) 443-1984
(318) 443-9799
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1442542
—
LA
Enumeration date
10/25/2005
Last updated
09/15/2022
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