# RIVERSIDE HEALTH AND REHABILITATION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760133755
- **Authorized official:** BRENDA CAMPBELL (AR BILLING MANAGER)
- **Authorized official phone:** (859) 255-0075

## Contact information

- **Practice address:** 6500 MACCORKLE AVE, SAINT ALBANS, WV 25177-2326
- **Practice address phone:** (304) 768-0002
- **Mailing address:** 1050 CHINOE RD STE 350, LEXINGTON, KY 40502-6571
- **Mailing address phone:** (859) 255-0075
- **Mailing address fax:** (859) 281-5150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/12/2022
- **Last updated:** 01/12/2022