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Contact Information

RED RIVER MEDICAL NUTRITION LLC
1115 E 7TH AVE
OAKDALE, LA71463-2301
 Phone: 318-485-9238
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Education

133NN1002X
 

Nutrition, Metabolic

133VN1006X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for RED RIVER MEDICAL NUTRITION LLC

NPI Number 1013472166
LBN Legal business name RED RIVER MEDICAL NUTRITION LLC
Authorized official ALEXIS MOTLEY - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/04/2019
Last updated 02/21/2019 - About 7 years ago
Identifiers n/a
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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