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NPI 1053124784

NPI 1053124784 : RIVER USA INC : LAKEWOOD, NJ

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General NPI Number Information
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    NPI Number           |    1053124784
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    Entity Type          |    Organization 
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    Legal Business Name  |    RIVER USA INC 
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Dates
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    Enumeration Date     |    01/28/2025
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    Last Update Date     |    01/28/2025
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Provider Practice Location Address
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    Address Line         |    4 PEBBLE WAY 
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    City                 |    LAKEWOOD
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    State                |    NJ
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    Zip                  |    08701-6121
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    Country              |    US
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    Telephone            |    732-314-5960
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4 PEBBLE WAY 
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    City                 |    LAKEWOOD
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    State                |    NJ
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    Zip                  |    08701-6121
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     JUDITH  LEFKOWITZ 
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    Credential           |    
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    Telephone            |    718-643-6885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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