Provider Demographics
NPI:1649419540
Name:RICHLAND HOMECARE, L.L.C.
Entity Type:Organization
Organization Name:RICHLAND HOMECARE, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:STANSBURY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:318-728-3080
Mailing Address - Street 1:PO BOX 1209
Mailing Address - Street 2:
Mailing Address - City:RAYVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71269-1209
Mailing Address - Country:US
Mailing Address - Phone:318-728-3080
Mailing Address - Fax:318-728-4636
Practice Address - Street 1:403 SPENCER ST
Practice Address - Street 2:
Practice Address - City:RAYVILLE
Practice Address - State:LA
Practice Address - Zip Code:71269-2932
Practice Address - Country:US
Practice Address - Phone:318-728-3080
Practice Address - Fax:318-728-4636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2635746001261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center