Organization
RIVER MEADOWS SENIOR CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN SPENCE (ADMINISTRATOR)
(813) 777-9149
Entity
Organization
Contact information
Practice address
2318 CHERRY RIDGE LN, BRANDON, FL 33511-7222
(813) 651-1965
Mailing address
4801 POND RIDGE DR, RIVERVIEW, FL 33578-2106
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11578
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001481200
—
FL
Enumeration date
03/03/2014
Last updated
03/03/2014
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