Organization
RIVERSIDE VILLAGE HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA CLARKE (OWNER)
(910) 417-7351
Entity
Organization
Contact information
Practice address
351 FAMILY RIDGE ROAD, LEICESTER, NC 28748
(910) 417-7351
Mailing address
PO BOX 55, FLETCHER, NC 28732-0055
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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