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Organization

RIVER RISE HOMES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS ROJEAN S MCDOWELL (OWNER)
(862) 239-3805
Entity
Organization

Contact information

Practice address
168 JACKSON ST APT 1, PATERSON, NJ 07503-3004
(862) 239-3805
Mailing address
168 JACKSON ST APT 1, PATERSON, NJ 07503-3004
(862) 239-3805

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
310400000X
Assisted Living Facility
3104A0625X
Assisted Living Facility (Mental Illness)
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320700000X
Physical Disabilities Residential Treatment Facility
320800000X
Mental Illness Community Based Residential Treatment Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
332U00000X
Home Delivered Meals

Other

Enumeration date
08/23/2021
Last updated
08/23/2021
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