Organization
RIVERSOUTH REHABILITATION CENTER,INC
Active
Organization
RIVERSOUTH REHABILITATION CENTER,INC
Active
Other names
wfs non-emergency medical transportation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAIAH WOODS (CEO)
(318) 410-1062
Entity
Organization
Contact information
Practice address
3208 CONCORDIA AVE, MONROE, LA 71201-5113
(318) 410-1062
Mailing address
3208 CONCORDIA AVE, MONROE, LA 71201-5113
(318) 410-1062
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1141666
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1141666
—
LA
Enumeration date
05/21/2007
Last updated
06/05/2008
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