Organization
RANDALL EUGENE SIMMONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL EUGENE SIMMONS (COTA)
(318) 423-0297
Entity
Organization
Contact information
Practice address
318 ACE ST, HAUGHTON, LA 71037-8774
(318) 423-0297
Mailing address
318 ACE ST, HAUGHTON, LA 71037-8774
(318) 423-0297
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
200422
LA
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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