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Organization
RIVERSIDE HEALTHCARE CENTER LLC
Active
Organization
RIVERSIDE HEALTHCARE CENTER LLC
Active
Other names
Riverside Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
FAHIM UDDIN (SOLE MEMBER)
(248) 593-1990
Entity
Organization
Contact information
Practice address
1149 W MONROE RD, SAINT LOUIS, MI 48880-9736
(989) 681-3852
Mailing address
30700 TELEGRAPH RD STE 2504, BINGHAM FARMS, MI 48025-4571
(248) 593-1990
(248) 593-9120
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
04/09/2019
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