RIVERSIDE CARE INC; NPI #1912931023

Contact Information

RIVERSIDE CARE INC

31 SOUTH 10TH AVENUE
SUITE 6
COATESVILLE, PA 19320

Phone: 610-383-9600
Fax: 610-383-4811
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation, Substance Use Disorder	261QR0405X

Indicates primary specialty

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NPI Profile & details for RIVERSIDE CARE INC

NPI Number 1912931023

LBN Legal business name RIVERSIDE CARE INC

Authorized official ROSEMARY O'ROURKE - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/11/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

PA	License #	157028
PA	Medicaid	1007578550025

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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