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Organization

RIVERIDGE MI OPCO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ESTI PRUZANSKY (AR)
(732) 330-2157
Entity
Organization

Contact information

Practice address
1333 WELLS ST, NILES, MI 49120-1543
(732) 330-2157
Mailing address
175 ROUTE 70 STE 207, TOMS RIVER, NJ 08755-0936
(732) 330-2157
(732) 330-2157

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
10/20/2025
Last updated
12/10/2025
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