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NPI Code Detail

MEDICARE: RIVERVIEW OPERATOR LLC

MEDICARE: RIVERVIEW OPERATOR LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1235863580
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIVERVIEW OPERATOR LLC
Provider Business Mailing Address
First Line : 546 MAIN ST
Second Line :
City : COVENTRY
State : RI
Zip : 02816-7852
Country : US
Telephone Number : 401-821-6837
Fax Number :
Provider Business Practice Location Address
First Line : 546 MAIN ST
Second Line :
City : COVENTRY
State : RI
Zip : 02816-7852
Country : US
Telephone Number : 401-821-6837
Fax Number :
Authorized Official
Title or Position : MEDICARE ADMINISTRATION OFFICER
Name : MINDEE POSEN
Credential :
Telephone Number : 845-825-2217
Provider Enumeration Date : 07/12/2022
Last Update Date : 04/04/2024

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Directions to “RIVERVIEW OPERATOR LLC ” Practice Location

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