Healthcare Provider Details

I. General information

NPI: 1710356217
Provider Name (Legal Business Name): RIVIERA HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2015
Last Update Date: 05/19/2022
Certification Date: 05/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 N ROYAL ST 605
MOBILE AL
36602-3603
US

IV. Provider business mailing address

8245 SPANISH FORT BLVD
SPANISH FORT AL
36527-5245
US

V. Phone/Fax

Practice location:
  • Phone: 251-405-6451
  • Fax: 251-405-6099
Mailing address:
  • Phone: 251-405-6451
  • Fax: 251-405-6099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateAL

VIII. Authorized Official

Name: AMIE MORRIS
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 251-405-6451