| Organization Name: | RIVER CITY PROFESSIONAL SERVICES, INC. |
| NPI Number: | 1871940791 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TANIA M DAUGHTRY (CFO) |
| Mailing Address: | 4110 Southpoint Blvd Ste 110 Jacksonville |
| State: | FL US |
| Postal Code: | 322160925 |
| Phone Number: | 9044187900 |
| Fax Number: | 9044187901 |
| NPI Enumeration Date: | 05/20/2016 |
| NPI Last Update Date: | 05/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 30211677 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |