Organization
RIVERSIDE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY DODSON (ADMINISTRATOR)
(336) 264-5299
Entity
Organization
Contact information
Practice address
1405 N SELLARS MILL RD, BURLINGTON, NC 27217-1827
(336) 264-5299
Mailing address
PO BOX 3311, BURLINGTON, NC 27215-0311
(336) 264-5299
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL001094
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804738
—
NC
Enumeration date
03/30/2007
Last updated
08/22/2020
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