Provider Demographics
NPI:1578327508
Name:RIZENSON, LLC
Entity Type:Organization
Organization Name:RIZENSON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:ZOLA
Authorized Official - Last Name:DOWDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-479-7101
Mailing Address - Street 1:1114 COTTINGHAM BLVD N STE B
Mailing Address - Street 2:
Mailing Address - City:BENNETTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29512-2856
Mailing Address - Country:US
Mailing Address - Phone:184-347-9710
Mailing Address - Fax:
Practice Address - Street 1:1114 COTTINGHAM BLVD N STE B
Practice Address - Street 2:
Practice Address - City:BENNETTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29512-2856
Practice Address - Country:US
Practice Address - Phone:843-479-7101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RIZENSON,LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility