| NPI | 1134979701 |
|---|---|
| Doing Business As | RIVERMEADOWS GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | KEVIN SPENCE Owner, Manager 772-528-7035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-04-07 |