| NPI | 1255448379 |
|---|---|
| Doing Business As | RIVERSIDE CONVALESCENT CENTER, MATHEWS |
| Entity Type | Organization |
| Authorized Contact | WALTER W AUSTIN CFO 757-875-7846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: VA 49E215) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: VA 49E215) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: VA 49E215) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2021-11-30 |