Organization
RIVERSIDE HEALTHCARE CENTER LLC
Active
Other names
Riverside Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
FAHIM UDDIN (SOLE MEMBER)
(248) 593-1990
Entity
Organization
Contact information
Practice address
1149 W MONROE RD, SAINT LOUIS, MI 48880-9736
(989) 681-3852
Mailing address
30700 TELEGRAPH RD STE 2504, BINGHAM FARMS, MI 48025-4571
(248) 593-1990
(248) 593-9120
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
04/09/2019
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