Organization
ADULT SERVICES UNLIMITED, INC.
Active
Organization
ADULT SERVICES UNLIMITED, INC.
Active
Other names
Riverside Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROCH CARTER (VICE PRESIDENT)
(414) 908-8221
Entity
Organization
Contact information
Practice address
220 S. RIVER STREET, PLAINS, PA 18705-1137
(570) 824-3444
(570) 824-4021
Mailing address
111 WEST MICHIGAN STREET, MILWAUKEE, WI 53203-2903
(414) 908-8119
(414) 908-7105
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01903276
—
PA
05
—
1463894
—
PA
01
—
372927
BLUE SHIELD
PA
01
—
42659
GEISINGER
PA
01
—
50013006
CAPITAL BLUE CROSS
PA
01
—
538523
AETNA US HEALTHCARE
PA
01
—
815236
FIRST PRIORITY HEALTH
PA
Enumeration date
08/30/2005
Last updated
07/06/2009
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