Riverside Service Group INC
NPI #1346390796 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1346390796
- Entity Type
- Organization
- Organization Name
- Riverside Service Group INC
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Jan 10, 2007
- Last Updated
- Jun 25, 2010
Practice Location
- Address
- 461 RIVER PKWY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83402-3314
- Phone
- (208) 542-4517
Authorized Official
- Name
- MRS. KATHLEEN ANN HANSEN
- Title
- PRESIDENT CEO
- Phone
- (208) 521-6573
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
| Day Training, Developmentally Disabled Services |
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