Organization
RIVER RIDGE COMMUNITY LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAUREN GROGAN ELLIS (EXECUTIVE DIRECTOR)
(336) 817-0635
Entity
Organization
Contact information
Practice address
7129 OLD RICHMOND RD, DANVILLE, VA 24540-0217
(336) 817-0635
Mailing address
1623 COUNTRY CLUB RD, REIDSVILLE, NC 27320-6101
(330) 817-0635
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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