Organization
RED RIVER CENTER LLC
Active
Other names
Rose View Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD NEAL KILLIAN (ADMINISTRATOR)
(318) 222-3100
Entity
Organization
Contact information
Practice address
3405 MANSFIELD RD, SHREVEPORT, LA 71103-4107
(318) 222-3100
(318) 222-3930
Mailing address
3405 MANSFIELD RD, SHREVEPORT, LA 71103-4107
(318) 222-3100
(318) 222-3930
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
701
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520713
—
LA
01
—
3592138
UNEMPLOYMENT INS.
LA
Enumeration date
06/27/2005
Last updated
08/17/2018
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