Healthcare Provider Details

I. General information

NPI: 1134243546
Provider Name (Legal Business Name): RED RIVER MANUFACTURING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 MAIN ST
PINEVILLE LA
71360-6930
US

IV. Provider business mailing address

310 MAIN ST
PINEVILLE LA
71360-6930
US

V. Phone/Fax

Practice location:
  • Phone: 318-442-9350
  • Fax: 318-442-8188
Mailing address:
  • Phone: 318-442-9350
  • Fax: 318-442-8188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MRS. JANET S SMITH
Title or Position: OWNER
Credential:
Phone: 318-442-9350