Organization
RIVERSIDE VILLAGE HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA CLARKE (OWNER)
(910) 417-7351
Entity
Organization
Contact information
Practice address
12 ELLA LN, ALEXANDER, NC 28701-5514
(910) 417-7351
Mailing address
PO BOX 55, FLETCHER, NC 28732-0055
(910) 417-7351
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL-011
NC
343900000X
Non-emergency Medical Transport (VAN)
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Other
Enumeration date
04/13/2016
Last updated
04/09/2025
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