Riley, Matilda L

Riley, Matilda L is an individual health care provider with primary practice located at 875 Dr Mary Mcleod Bethune Blvd Suite B, Daytona Beach FL 32114-3602. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Riley, Matilda L can be contacted via phone (386) 323-9855.

Contact Information

Primary practice address
875 Dr Mary Mcleod Bethune Blvd Suite B Daytona Beach FL 32114-3602
Phone: (386) 323-9855
Fax: (386) 253-2335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1255607578
LBN Legal business name Riley, Matilda L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2012
Last updated Mar 30th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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