RED RIVER COUNCIL ON AGING, INC.; NPI #1174736409

Contact Information

RED RIVER COUNCIL ON AGING, INC.

1825 FRONT STREET
COUSHATTA, LA 71019

Phone: 318-932-5721
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Adult Day Care	261QA0600X

Indicates primary specialty

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

NPI # 1174736409

LBN Legal business name RED RIVER COUNCIL ON AGING, INC.

Authorized official MARY WAILES - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/07/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

LA	License #	2668
LA	Medicaid	1317314

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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