The River Source Iop Llc

LBN: The River Source Iop Llc
The River Source Iop Llc is an health care organization with primary practice located at 128 W Pepper Pl , Mesa AZ 85201-7317. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. The River Source Iop Llc can be contacted via phone (480) 735-8346, or through Luchini, Matthew via phone (928) 533-4220.

Contact Information

Primary practice address
128 W Pepper Pl Mesa AZ 85201-7317
Phone: (480) 735-8346
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Luchini, Matthew
Phone: (928) 533-4220

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1538599469
LBN Legal business name The River Source Iop Llc
DBA Doing business as
Authorized official Luchini, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2013
Last updated Mar 31st, 2014 - about 10 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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