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Organization

LTACH AT RIVERSIDE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN DUGGAN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization

Contact information

Practice address
500 J CLYDE MORRIS BLVD, 4TH FLOOR EAST AND 4TH FLOOR ANNEX, NEWPORT NEWS, VA 23601
(717) 972-1100
Mailing address
4714 GETTYSBURG RD, LEGAL DEPT, MECHANICSBURG, PA 17055-4325
(717) 972-1100

Taxonomy

Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary

Other

Enumeration date
04/21/2017
Last updated
09/10/2025
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