Organization
RIVERSIDE VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA CLARKE (OWNER)
(910) 417-7351
Entity
Organization
Contact information
Practice address
11 ELLA LN, ALEXANDER, NC 28701-5511
(910) 417-7351
(828) 738-2283
Mailing address
PO BOX 897, BLACK MOUNTAIN, NC 28711-0897
(910) 417-7351
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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