Organization
RIVERDALE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOLLY CHAVOUS (ADMINISTRATOR)
(718) 549-3300
Entity
Organization
Contact information
Practice address
6355 BROADWAY, BRONX, NY 10471-2701
(718) 549-3300
(718) 601-0593
Mailing address
6355 BROADWAY, BRONX, NY 10471-2701
(718) 549-3300
(718) 601-0593
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
9972L001
NY
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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