| NPI | 1164413282 |
|---|---|
| Doing Business As | RIVERIDGE MANOR |
| Entity Type | Organization |
| Authorized Contact | CRAIG D. TAYLOR Chief Manager 423-308-1845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 114050) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2014-10-13 |