Riverside Foundation
NPI #1730621871 in Lincolnshire, Illinois
Provider Information
- NPI Number
- 1730621871
- Entity Type
- Organization
- Organization Name
- Riverside Foundation
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Nov 7, 2016
- Last Updated
- Nov 7, 2016
Practice Location
- Address
- 14588 W HIGHWAY 22
- City
- Lincolnshire
- State
- Illinois
- ZIP Code
- 60069-3024
- Phone
- (847) 634-3973
Authorized Official
- Name
- DEBORAH ROGERS
- Title
- EXECUTIVE DIRECTOR
- Phone
- (847) 634-3973
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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