| Rivendel Independent Living, Inc. | |
|
2905 Crown Canyon Ct Reno NV 89503-6819 | |
| (877) 787-0402 | |
| (866) 831-3817 |
| Full Name | Rivendel Independent Living, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2905 Crown Canyon Ct, Reno, Nevada |
| Authorized Official Name and Position | Tonya Mcdowell (CEO/FOUNDER) |
| Authorized Official Contact | 8777870402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rivendel Independent Living, Inc. Po Box 34182 Reno NV 89533-4182 Ph: (877) 787-0402 | Rivendel Independent Living, Inc. 2905 Crown Canyon Ct Reno NV 89503-6819 Ph: (877) 787-0402 |
| NPI Number | 1164723797 |
|---|---|
| Provider Enumeration Date | 11/12/2010 |
| Last Update Date | 11/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164723797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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