Organization
RIVERVIEW SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALISSA PARROTT-STAHNKE (EXECUTIVE DIRECTOR)
(507) 824-2091
Entity
Organization
Contact information
Practice address
750 3RD AVE, WANAMINGO, MN 55983-1478
(150) 782-4209
(507) 824-2249
Mailing address
750 3RD AVE, WANAMINGO, MN 55983-1478
(507) 824-2091
(507) 824-2249
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
802152-1-RS
MN
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
545843900
—
MN
05
—
A053423400
—
MN
05
—
A213682200
—
MN
05
—
A521523400
—
MN
05
—
A696815500
—
MN
05
—
A734457100
—
MN
05
—
A777460000
—
MN
Enumeration date
03/19/2007
Last updated
03/31/2022
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