Organization
RED RIVER REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE CLAIBORNE LANFORD (ADMINISTER)
(318) 446-6169
Entity
Organization
Contact information
Practice address
1646 MILITARY HWY, PINEVILLE, LA 71360-5042
(318) 443-9305
(318) 443-3143
Mailing address
1646 MILITARY HWY, PINEVILLE, LA 71360-5042
(318) 443-9305
(318) 443-3143
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1435198
—
LA
Enumeration date
07/07/2005
Last updated
05/25/2022
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