| NPI | 1588779193 |
|---|---|
| Doing Business As | RIVERSIDE HEALTHY LIVING COMMUNITY-SMITHFIELD |
| Doing Business As | RIVERSIDE LIFELONG HEALTH & REHABILITATION SMITHFIELD |
| Entity Type | Organization |
| Authorized Contact | WALTER W AUSTIN CFO 757-875-7846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VA NH2669) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: VA NH2669) |
| 310400000X Assisted Living Facility (Licence: VA NH2669) | |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: VA NH2669) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2023-01-18 |