Organization Name: | RIVER VALLEY HOME CARE INC |
NPI Number: | 1023014412 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RACHELLE MARIE PARISEAU (OWNER/PRESIDENT) |
Mailing Address: | 916 8th St Farmington |
State: | MN US |
Postal Code: | 550241438 |
Phone Number: | 6514604201 |
Fax Number: | 6514604208 |
NPI Enumeration Date: | 06/22/2005 |
NPI Last Update Date: | 08/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 327101 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |