Organization
RIVERSIDE REHAB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE BARTON (OWNER-PRESIDENT)
(208) 853-8536
Entity
Organization
Contact information
Practice address
7735 W RIVERSIDE DR, BOISE, ID 83714-6182
(208) 853-8536
(208) 853-2929
Mailing address
7711 W RIVERSIDE DR, BOISE, ID 83714-6182
(208) 853-8536
(208) 853-2929
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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