| NPI | 1669422853 |
|---|---|
| Other Name | RIVERSIDE SHORE REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | WALTER WILLIAM AUSTIN Sr VP/CFO/Treasurer 757-531-7015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: VA NH2475) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2021-01-26 |