National Provider Identifier Database

RIVERSIDE CARE INC
Rehabilitation, Substance Use Disorder


Contact Information

RIVERSIDE CARE INC
31 SOUTH 10TH AVENUE
SUITE 6
COATESVILLE, PA19320
Phone: 610-383-9600
Fax: 610-383-4811
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for RIVERSIDE CARE INC

NPI Number 1912931023
Legal business name
LBN
RIVERSIDE CARE INC
Authorized official ROSEMARY O'ROURKE - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/11/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: 157028
  • PA Medicaid: 1007578550025

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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