| NPI | 1538167630 |
|---|---|
| Former Legal Business Name | CCG LAKESHORE INC |
| Doing Business As | RIVERSIDE NURSING AND REHABILITATION COMMUNITY |
| Entity Type | Organization |
| Authorized Contact | JAMES FERKANY Secretary 614-454-6048 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 70-4090) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2025-03-03 |