Healthcare Provider Details
I. General information
NPI: 1154081263
Provider Name (Legal Business Name): RIVER OAKS NURSING & REHABILITATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/30/2021
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3612 BAKER BLVD
BAKER LA
70714-2513
US
IV. Provider business mailing address
3612 BAKER BLVD
BAKER LA
70714-2513
US
V. Phone/Fax
- Phone: 225-778-0573
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TEDDY
PRICE
Title or Position: CEO
Credential:
Phone: 318-628-4116