Organization
SALINE RC OPERATIONS, LLC
Active
Other names
Four Seasons Residential Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROSS M PONTHIE (MANAGING MEMBER)
(318) 443-8167
Entity
Organization
Contact information
Practice address
2230 S MACARTHUR DR, SUITE 9, ALEXANDRIA, LA 71301-3057
(311) 844-3816
(318) 443-5557
Mailing address
2408 MILITARY RD, BENTON, AR 72015-2743
(501) 778-2838
(501) 778-2508
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
487
LICENSE
AR
Enumeration date
02/28/2011
Last updated
02/28/2011
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