Organization Name: | RIVER LIVING CENTER |
NPI Number: | 1699931451 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY SUE EULBERG (RN/OWNER) |
Mailing Address: | 831 S Highway 52 Guttenberg |
State: | IA US |
Postal Code: | 520529018 |
Phone Number: | 5632523070 |
Fax Number: | 5639642756 |
NPI Enumeration Date: | 07/31/2008 |
NPI Last Update Date: | 07/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | SO279 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |