Riverside Health Source LLC
NPI #1881293835 in Tappahannock, Virginia
Provider Information
- NPI Number
- 1881293835
- Entity Type
- Organization
- Organization Name
- Riverside Health Source LLC
- Primary Specialty
- Hospice Care, Community Based
- Enumeration Date
- Oct 21, 2020
- Last Updated
- Oct 21, 2020
Practice Location
- Address
- 289 HOSPITAL RD
- City
- Tappahannock
- State
- Virginia
- ZIP Code
- 22560-5145
- Phone
- (804) 443-6130
Authorized Official
- Name
- WALTER W AUSTIN JR.
- Title
- SR VICE PRESIDENT/CFO
- Phone
- (757) 875-7545
Specialties & Taxonomy Codes
| Specialty |
|---|
| Hospice Care, Community Based |
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