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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