| NPI | 1104430206 |
|---|---|
| Doing Business As | NORTH RIVER VILLAGE |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS M WRIGHT Managing Member 662-680-3148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |