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Contact Information

COUNTRY ROAD RESOURCES, INC
25687 HWY 371
SAREPTA, LA71071
 Phone: 318-847-4193
 Fax: 318-847-4192
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Personal Care Attendant

3747P1801X
Indicates primary specialty

NPI Profile & details for COUNTRY ROAD RESOURCES INC · (Female)

NPI Number 1073636015
Status Active
Credentials
Entity Individual
Enumeration date 04/06/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA License # 1463272
  • LA Medicaid 1463272
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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