# RIVERWOOD-LTC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Riverwood Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861854242
- **Authorized official:** MR. DAREN DOUSTON (MEMBER.CFO)
- **Authorized official phone:** (678) 381-2810

## Contact information

- **Practice address:** 600 BACON ST, MADISONVILLE, TX 77864-2575
- **Practice address phone:** (936) 348-9097
- **Practice address fax:** (936) 348-9212
- **Mailing address:** 10945 STATE BRIDGE RD, SUITE 401-470, ALPHARETTA, GA 30022-8164
- **Mailing address phone:** (678) 381-2820
- **Mailing address fax:** (678) 381-2810

## Taxonomy

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

## Other

- **Enumeration date:** 03/24/2016
- **Last updated:** 03/24/2016