Organization
RIVERS HOME CARE SERVICE, LLC.
Active
Other names
Octavia Rivers
Organization subpart
No
Provider details
NPI number
Authorized official
OCTAVIA RIVERS C.N.A. (OWNER)
(912) 436-2397
Entity
Organization
Contact information
Practice address
1608 CHEVY CHASE RD, SAVANNAH, GA 31415-7809
(912) 436-2397
Mailing address
1608 CHEVY CHASE RD, SAVANNAH, GA 31415-7809
(912) 436-2397
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235797408
OCTAVIA RIVERS
GA
Enumeration date
04/06/2020
Last updated
04/06/2020
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