NPI | 1821332370 |
---|---|
Other Name | RIVER VALLEY ASC, LLC |
Entity Type | Organization |
Authorized Contact | JENNIFER GALE Adminstrator 860-859-9948 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CT 0000336) |
Enumeration Date | 2012-11-22 |
Last Update Date | 2021-09-29 |