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General NPI Number Information
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NPI Number | 1720164957
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Entity Type | Organization
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Legal Business Name | RED RIVER HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 1701 OLD MINDEN ROAD SUITE 33B
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City | BOSSIER CITY
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State | LA
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Zip | 71111
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Country | US
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Telephone | 318-752-4662
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Fax | 318-752-4689
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Provider Business Mailing Address
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Address Line | 8150 N CENTRAL EXPY STE 1800
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City | DALLAS
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State | TX
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Zip | 75206-1883
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Country | US
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Telephone | 469-839-3777
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Fax | 469-983-2083
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Authorized Official
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Title or Position | LICENSING MANAGER
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Name | ANGIE MARTIN
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Credential |
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Telephone | 903-787-7609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 899
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1174
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1196
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License Number State | LA
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