Organization
RIVERTOWN ASSISTED LIVING LLC
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHELL SOLOMON (ADMINISTRATOR)
(850) 447-1720
Entity
Organization
Contact information
Practice address
16354 SW CHIPOLA RD, BLOUNTSTOWN, FL 32424-3943
(850) 447-1720
Mailing address
16354 SW CHIPOLA RD, BLOUNTSTOWN, FL 32424-3943
(850) 447-1720
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
12439
FL
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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