Organization
RIVERSIDE ADULT CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM ADAM (OWNER/MANAGER)
(612) 702-0253
Entity
Organization
Contact information
Practice address
924 19TH AVE S STE B, MINNEAPOLIS, MN 55404-2202
(612) 702-0253
(612) 293-8592
Mailing address
924 19TH AVE S STE B, MINNEAPOLIS, MN 55404-2202
(612) 702-0253
(612) 293-8592
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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