Provider Demographics
NPI:1699931451
Name:RIVER LIVING CENTER
Entity type:Organization
Organization Name:RIVER LIVING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:EULBERG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:563-880-1580
Mailing Address - Street 1:831 S HIGHWAY 52
Mailing Address - Street 2:
Mailing Address - City:GUTTENBERG
Mailing Address - State:IA
Mailing Address - Zip Code:52052-9018
Mailing Address - Country:US
Mailing Address - Phone:563-252-3070
Mailing Address - Fax:563-964-2756
Practice Address - Street 1:831 S HIGHWAY 52
Practice Address - Street 2:
Practice Address - City:GUTTENBERG
Practice Address - State:IA
Practice Address - Zip Code:52052-9018
Practice Address - Country:US
Practice Address - Phone:563-252-3070
Practice Address - Fax:563-964-2756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IASO279310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility