Organization
RIVERSIDE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRANDY RENEE DODSON (ADMINISTRATOR)
(336) 264-5299
Entity
Organization
Contact information
Practice address
350 N. SELLARS MILL, BURLINGTON, NC 27217-1827
(336) 513-0396
Mailing address
350 N. SELLARS MILL, BURLINGTON, NC 27215-1827
(336) 513-0396
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL-001-126
NC
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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