| NPI | 1457335812 |
|---|---|
| Doing Business As | DERIDDER RETIREMENT & REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | JACK SANDERS Managing Member 318-590-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 885) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2007-08-23 |