Organization
RIVERSTREET CENTER OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVITAL ROSENZWEIG (AUTHORIZED MEMBER)
(717) 543-4401
Entity
Organization
Contact information
Practice address
440 N RIVER ST, WILKES BARRE, PA 18702-2631
(570) 825-5611
(570) 824-6488
Mailing address
440 N RIVER ST, WILKES BARRE, PA 18702-2631
(570) 825-5611
(570) 824-6488
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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