Organization
HOUSE ON THE RIVIERA ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL EVE LA PLANTE (OWNER/ MANAGER)
(928) 855-1133
Entity
Organization
Contact information
Practice address
190 RIVIERA DR., LAKE HAVASU CITY, AZ 86403
(928) 855-1133
(928) 855-1133
Mailing address
190 RIVIERA DR, LAKE HAVASU CITY, AZ 86403-5735
(928) 855-1133
(928) 855-1133
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8084H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
527150
—
AZ
Enumeration date
09/21/2011
Last updated
09/21/2011
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