NPI 1255740189
Rivercrest Specialty Hospital, LLC
Practice location
- Address
- 1625 E Jefferson Blvd, Mishawaka, IN 46545-7103
- Phone
- (574) 255-1400
- Fax
- (574) 255-1840
- Mailing address
- 112 W Jefferson Blvd STE 600, South Bend, IN 46601-1921
Authorised official
- Name
- Christy Keltner
- Title
- Corp Bod
- Phone
- (615) 319-6552
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1255740189
- Entity type
- Organization
- NPI issued
- 5 Aug 2014
- Record last updated
- 13 Aug 2024
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.