Organization
RIVERSIDE VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA CLARKE (OWNER)
(910) 417-7351
Entity
Organization
Contact information
Practice address
19 ELLA LN, ALEXANDER, NC 28701-5517
(910) 417-7351
(828) 738-2283
Mailing address
PO BOX 897, BLACK MOUNTAIN, NC 28711-0897
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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