NPI 1083785935

Riverstreet Healthcare

Organisation Parenteral & Enteral Nutrition Supplies (DME) Anderson, SC

Practice location

Address: 611 E Hampton St, Anderson, SC 29624-2814
Phone: (864) 226-5054
Fax: (864) 226-5643

Authorised official

Name: Tony Keith Stewart
Title: Asst. Adminstrator
Phone: (864) 226-5054

Registered specialties

Parenteral & Enteral Nutrition Supplies (DME) Primary

Suppliers Taxonomy 332BP3500X Licence 0386640001 (SC)

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Registry record

NPI: 1083785935
Entity type: Organization
NPI issued: 13 Nov 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.