| NPI | 1124628219 |
|---|---|
| Doing Business As | RIVERS EDGE OF LUMBERTON |
| Entity Type | Organization |
| Authorized Contact | DAVANCE LOCKLEAR Owner 843-754-5147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |