| NPI | 1063438943 |
|---|---|
| Doing Business As | RIVERSIDE LIFELONG HEALTH & AGING SERVICES |
| Entity Type | Organization |
| Authorized Contact | BILLIE JO BROWN Credentialing Manager 757-316-5901 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208100000X Physical Medicine & Rehabilitation | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2024-07-22 |