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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