Organization
RIVERS ADULT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA RIVERS REBECCA (OWNER/EXECUTIVE DIRECTOR)
(804) 379-9252
Entity
Organization
Contact information
Practice address
1797 ANDERSON HWY, POWHATAN, VA 23139-8011
(804) 379-9259
(804) 639-9643
Mailing address
12630 THIRD BRANCH CT, CHESTERFIELD, VA 23832-3780
(804) 639-0056
(804) 639-9643
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
CLO091103940
VA
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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