Riverlands Home Group, LLC

NPI #1629013404 in Lutcher, Louisiana

Provider Information

NPI Number
1629013404
Entity Type
Organization
Organization Name
Riverlands Home Group, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 17, 2006
Last Updated
Jul 31, 2012

Practice Location

Address
1980 RIVER ROAD
ZIP Code
70071
Phone
(225) 869-5725

Authorized Official

Name
MR. STEVEN D BOULWARE
Title
AUTHORIZED REPRESENTATIVE
Phone
(985) 855-4424

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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