Organization
RIVERBIRCH RESIDENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J LEMMONS (ADMINISTRATOR)
(662) 844-3451
Entity
Organization
Contact information
Practice address
2554 MAIN ST, PLANTERSVILLE, MS 38862-7908
(662) 844-3451
Mailing address
PO BOX 159, PLANTERSVILLE, MS 38862-0159
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
839
MS
Other
Enumeration date
02/20/2007
Last updated
10/24/2007
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