River Ridge Retirement Village

LBN: River Ridge Retirement Village
River Ridge Retirement Village is an health care organization with primary practice located at 706 Kentucky Ave , South Haven MI 49090-9607. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. River Ridge Retirement Village can be contacted via phone (269) 639-7310, or through Pawlicki, Kathy via phone (269) 639-7310.

Contact Information

Primary practice address
706 Kentucky Ave South Haven MI 49090-9607
Phone: (269) 639-7310
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pawlicki, Kathy
Phone: (269) 639-7310

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL800095787 Michigan

Profile Details

NPI number 1396072088
LBN Legal business name River Ridge Retirement Village
DBA Doing business as
Authorized official Pawlicki, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2009
Last updated Nov 17th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396072088 NPPES
Michigan Other 23D1102188 CLIA

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