Organization
RIVERS EDGE ADULT DAY CARE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE THESLYN WILLIAMS OWNER-OPPERATOR (DIRECTOR)
(321) 727-7337
Entity
Organization
Contact information
Practice address
422 MARTIN RD SE, PALM BAY, FL 32909-3923
(321) 727-7337
(321) 727-8970
Mailing address
422 MARTIN RD SE, PALM BAY, FL 32909-3923
(321) 727-7337
(321) 727-8970
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
311Z00000X
Custodial Care Facility
9112
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
684759500
—
FL
Enumeration date
05/04/2007
Last updated
01/10/2024
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