# RIVERVIEW HEALTHCARE PLAZA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RIVEVIEW MANOR HEALTHCARE CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609177286
- **Legal business name:** RIVEVIEW MANOR HEALTHCARE CENTER
- **Authorized official:** MR. CHARLES LEWIS ADM (ADMINISTRATOR)
- **Authorized official phone:** (607) 687-2594

## Contact information

- **Practice address:** 530 5TH AVE, OWEGO, NY 13827-1620
- **Practice address phone:** (607) 687-2594
- **Practice address fax:** (607) 687-1561
- **Mailing address:** 510 5TH AVE, OWEGO, NY 13827-1620
- **Mailing address phone:** (607) 687-2594
- **Mailing address fax:** (607) 687-1561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | 5324302N | NY | Yes |

## Other

- **Enumeration date:** 11/12/2010
- **Last updated:** 07/14/2011