| NPI | 1265755540 |
|---|---|
| Doing Business As | RIVERDALE RESIDENTIAL CARE FACILITY |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL C PAVLICK Owner 540-834-7114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2010-03-01 |