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Organization

RIVERBEND SERVICES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANGELA ROUSE BS (CEO)
(910) 618-9260
Entity
Organization

Contact information

Practice address
6688 NC HIGHWAY 41 N, LUMBERTON, NC 28358-2501
(910) 618-9260
(352) 293-3128
Mailing address
6688 NC HIGHWAY 41 NORTH, LUMBERTON, NC 28358-1768
(910) 618-9260
(352) 293-3128

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2084P0804X
Child & Adolescent Psychiatry Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0707U
BLUE CROSS BLUE SHIELD
NC
01
137810
MEDCOST
NC
05
5950227
NC
Enumeration date
06/30/2008
Last updated
06/27/2013
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