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General NPI Number Information
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NPI Number | 1497544902
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Entity Type | Organization
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Legal Business Name | RIVERVIEW LUTHERAN RETIREMENT COMMUNITY OF SPOKANE
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 2360 N STONE ST
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City | SPOKANE
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State | WA
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Zip | 99207-5508
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Country | US
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Telephone | 509-483-6483
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 E UPRIVER DR
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City | SPOKANE
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State | WA
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Zip | 99207-5181
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Country | US
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Telephone | 509-483-6483
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Fax |
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | DAPHNNEE JOHNSON
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Credential |
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Telephone | 509-482-8187
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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