NPI | 1629184072 |
---|---|
Doing Business As | RIVERSIDE ADULT DAYCARE, WILLIAMSBURG |
Entity Type | Organization |
Authorized Contact | WALTER W AUSTIN Senior VP, Ltc 757-875-7846 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: VA PL005216) |
Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: VA PL005216) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2021-01-26 |