Organization
RIVERSIDE HEALTHCARE, L.P.
Active
Other names
Riverside Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES J ANDREWS (PRESIDENT)
(770) 992-0441
Entity
Organization
Contact information
Practice address
5100 WEST ST NW, COVINGTON, GA 30014-2173
(770) 787-0211
(770) 786-2462
Mailing address
5100 WEST ST NW, COVINGTON, GA 30014-2173
(770) 787-0211
(770) 786-2462
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-107-1372
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000140324A
—
GA
05
—
450427903A
—
GA
Enumeration date
12/22/2005
Last updated
03/24/2025
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