Organization
RIVERSOUTH REHABILITATION CENTER, INC.
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASHLEY LYNN EUBANKS (BILLING)
(318) 410-1062
Entity
Organization
Contact information
Practice address
410 S FRANKLIN ST, BASTROP, LA 71220-4533
(318) 410-1062
Mailing address
1010 N 9TH ST, MONROE, LA 71201-5513
(318) 410-1062
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529079
—
LA
05
—
1565563
—
LA
Enumeration date
01/29/2007
Last updated
04/14/2016
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