| NPI | 1891795308 |
|---|---|
| Doing Business As | RIVERSIDE VILLAGE |
| Entity Type | Organization |
| Authorized Contact | STEVE VAN CAMP CFO Of Asc 317-788-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 13-0030751-1) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2020-09-25 |