National Provider Identifier Database

RIVERTOWN ASSISTED LIVING LLC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

RIVERTOWN ASSISTED LIVING LLC
16354 SW CHIPOLA RD
BLOUNTSTOWN, FL32424-3943
Phone: 850-447-1720
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for RIVERTOWN ASSISTED LIVING LLC

NPI Number 1649600156
Legal business name
LBN
RIVERTOWN ASSISTED LIVING LLC
Authorized official MARSHELL SOLOMON - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 11/19/2013
Last updated 11/19/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: 12439

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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