Provider Demographics
NPI:1962626812
Name:RED RIVER MANUFACTURING INC.
Entity Type:Organization
Organization Name:RED RIVER MANUFACTURING INC.
Other - Org Name:RED RIVER HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:S
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-442-9350
Mailing Address - Street 1:310 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71360-6930
Mailing Address - Country:US
Mailing Address - Phone:318-442-9350
Mailing Address - Fax:318-442-8188
Practice Address - Street 1:310 MAIN ST
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360-6930
Practice Address - Country:US
Practice Address - Phone:318-442-9350
Practice Address - Fax:318-442-8188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty
Not Answered3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty
Not Answered376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1116815Medicaid