| Riverside Rehab | |
|
7735 W Riverside Dr Boise ID 83714-6182 | |
| (208) 853-8536 | |
| (208) 853-2929 |
| Full Name | Riverside Rehab |
|---|---|
| Speciality | Social Worker |
| Location | 7735 W Riverside Dr, Boise, Idaho |
| Authorized Official Name and Position | Lee Barton (OWNER-PRESIDENT) |
| Authorized Official Contact | 2088538536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Rehab 7711 W Riverside Dr Boise ID 83714-6182 Ph: (208) 853-8536 | Riverside Rehab 7735 W Riverside Dr Boise ID 83714-6182 Ph: (208) 853-8536 |
| NPI Number | 1831211556 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831211556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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