National Provider Identifier Database

RED RIVER COUNCIL ON AGING INC
Adult Day Care


Contact Information

RED RIVER COUNCIL ON AGING, INC.
1825 FRONT STREET
COUSHATTA, LA71019
Phone: 318-932-5721
Fax:
Website:
Specialty Taxonomy Code
* Adult Day Care 261QA0600X

* Indicates primary specialty

NPI Profile & details for RED RIVER COUNCIL ON AGING, INC.

NPI Number 1174736409
Legal business name
LBN
RED RIVER COUNCIL ON AGING, INC.
Authorized official MARY WAILES - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 05/07/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • LA License #: 2668
  • LA Medicaid: 1317314

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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