| NPI | 1154368249 |
|---|---|
| Doing Business As | RIVERSIDE NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | KIM DELATTE Com PT Roller 225-664-6697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 58) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-08-22 |