| Organization Name: | RIVERSIDE LANDING NURSING AND REHABILITATION, INC. |
| NPI Number: | 1528062882 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL BUNNER (PRESIDENT, COO) |
| Mailing Address: | 856 S Riverside Dr Ne Mc Connelsville |
| State: | OH US |
| Postal Code: | 437569102 |
| Phone Number: | 7409625303 |
| Fax Number: | 7409626843 |
| NPI Enumeration Date: | 06/02/2005 |
| NPI Last Update Date: | 07/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | 1595 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |