RIVERSIDE FOUNDATION is a community based residential treatment facility, intellectual and/or developmental disabilities in Lincolnshire, IL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. RIVERSIDE FOUNDATION NPI is 1730621871. The provider is registered as an organization entity type.
The provider's business location address is:
14588 W HIGHWAY 22
LINCOLNSHIRE, IL
ZIP 60069-024
Phone: (847) 634-3973
Fax: (847) 634-0227
The provider's authorized official is Deborah Rogers .
The authorized official title is Executive Director and has the following contact phone number (847) 634-3973.
The CLIA number assigned to this NPI record is 14D1054063 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/7/2016 and was last updated on 11/7/2016.