Organization
RIVERSTREET HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY KEITH STEWART (ASST. ADMINSTRATOR)
(864) 226-5054
Entity
Organization
Contact information
Practice address
611 E HAMPTON ST, ANDERSON, SC 29624-2814
(864) 226-5054
(864) 226-5643
Mailing address
611 E HAMPTON ST, ANDERSON, SC 29624-2814
(864) 226-5054
(864) 226-5643
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
0386640001
SC
Other
Enumeration date
11/13/2006
Last updated
08/22/2020
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