Organization
RIVERSIDE CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADRIENNE ROTELLA MS (BILLING MANAGER)
(610) 635-7445
Entity
Organization
Contact information
Practice address
44 E BROAD ST, BETHLEHEM, PA 18018-5947
(610) 868-0435
(610) 868-5552
Mailing address
PO BOX 220, 100 EAGLEVILLE RD, EAGLEVILLE, PA 19408-0220
(610) 635-7445
(610) 539-2625
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
214720
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007578550032
—
PA
Enumeration date
10/29/2008
Last updated
10/29/2008
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