RIVERSIDE LODGEM INC NPI 1962784819

NPI Information

RIVERSIDE LODGEM INC is an assisted living facility in Grand Island, NE. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. RIVERSIDE LODGEM INC NPI is 1962784819. The provider is registered as an organization entity type.

The provider's business location address is:

404 WOODLAND DR
GRAND ISLAND, NE
ZIP 68801-906
Phone: (308) 382-1657
Fax: (308) 381-1863

The provider's authorized official is Debra Friend .
The authorized official title is Executive Director and has the following contact phone number (308) 382-1657.

The CLIA number assigned to this NPI record is 28D0455773 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/16/2011 and was last updated on 9/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.