Riverside Retirement Services, Inc.

NPI #1477755650 in Hampton, Virginia

Provider Information

NPI Number: 1477755650
Entity Type: Organization
Organization Name: Riverside Retirement Services, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: RIVERSIDE HEALTHCARE ASSOCIATION, INC.
Primary Specialty: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date: Jun 1, 2007
Last Updated: Dec 12, 2008

Practice Location

Address: 4107 W MERCURY BLVD
City: Hampton
State: Virginia
ZIP Code: 23666-3729
Phone: (757) 251-7977

Authorized Official

Name: CRAIG CONNORS
Title: EXECUTIVE DIRECTOR
Phone: (757) 875-2050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization	251T00000X	Primary

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