Organization
RIVERSIDE COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON M ADAMS (LPN)
(508) 809-0545
Entity
Organization
Contact information
Practice address
15 BEACON AVE, NORWOOD, MA 02062-2018
(781) 234-8212
Mailing address
15 BEACON AVE, NORWOOD, MA 02062-2018
(781) 234-8212
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
LN87437
MA
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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