Individual
RENE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5665 HOOVER RD, GROVE CITY, OH 43123-9122
(614) 539-6551
Mailing address
5665 HOOVER RD, GROVE CITY, OH 43123-9122
(614) 539-6551
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
OH
Other
Enumeration date
01/30/2016
Last updated
01/30/2016
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