| NPI | 1952320111 |
|---|---|
| Doing Business As | RIVERSIDE PLACE ASSISTED LIVING COMMUNITY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BROGDON Manager 770-650-7086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |