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Organization

RIVERBEND SERVICES,INC

Active
Other names
Riverbend Residential Services, Inc
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANGIE ROUSE BS (CEO)
(910) 618-9260
Entity
Organization

Contact information

Practice address
4195 S CREEK RD, ORRUM, NC 28369-8889
(910) 618-9260
(919) 737-6505
Mailing address
6688 NC HIGHWAY 41 N, LUMBERTON, NC 28358-2501
(910) 618-9260
(919) 737-6505

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-078-166
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6603809
NC
05
8300790
NC
Enumeration date
11/09/2006
Last updated
06/24/2013
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