Organization
RIVER'S EDGE ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA ARASHIA RAINES (OWNER)
(407) 272-1321
Entity
Organization
Contact information
Practice address
1315 ROCKLEDGE DR, ROCKLEDGE, FL 32955-3717
(407) 272-1321
Mailing address
PO BOX 185, COCOA, FL 32923-0185
(407) 272-1321
(321) 400-5190
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/18/2020
Last updated
01/18/2020
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