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Organization

RIVERVIEW MANOR HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EPHRAM LAHASKY (OWNER MORE THAN 5 PERCENT INTEREST)
(664) 772-3668
Entity
Organization

Contact information

Practice address
17990 SPENCER ROAD, PLEASANT VALLEY, IA 52767
(563) 332-4600
Mailing address
99 W HAWTHORNE AVE, SUITE 508, VALLEY STREAM, NY 11580-6163

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
02/28/2017
Last updated
02/28/2017
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