Healthcare Provider Details

I. General information

NPI: 1386586576
Provider Name (Legal Business Name): RILEY ALDEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5078 WOODCLIFF DR
FLINT MI
48504-1255
US

IV. Provider business mailing address

5078 WOODCLIFF DR
FLINT MI
48504-1255
US

V. Phone/Fax

Practice location:
  • Phone: 833-478-9464
  • Fax:
Mailing address:
  • Phone: 833-478-9464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: