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RUSTON DEVELOPMENTAL CENTER

Assisted Living Mental Illness

Ruston, Louisiana

Provider NPI: 1134345192

Organization Information:
Organization Name:  RUSTON DEVELOPMENTAL CENTER
Organization is not Subpart
Authorized Official:  JANET  ROBINSON  DIRECTOR OF ADMINISTRATIVE SERVICES  318-2474213

Practice Location:
2776 HIGHWAY 150  RUSTON, LA 71270 US
Tel: 318-247-4204  Fax: 318-247-4254

Business Mailing Address:
PO BOX 907  RUSTON, LA 71273 US
Tel: 318-247-4204  Fax: 318-247-4254

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3104A0625XNursing & Custodial Care Facilities
Assisted Living Facility
Assisted Living, Mental Illness
LA7626

Other Provider Identifiers:

IssuerNumberStateType
1569135LA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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