Organization
RIVERBEND SERVICES INC.
Active
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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