Provider Demographics
NPI:1043621923
Name:RIVERWALK ADULT DAY SERVICES
Entity type:Organization
Organization Name:RIVERWALK ADULT DAY SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BRASFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, MA
Authorized Official - Phone:630-357-8166
Mailing Address - Street 1:305 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-5204
Mailing Address - Country:US
Mailing Address - Phone:630-357-8166
Mailing Address - Fax:630-357-3260
Practice Address - Street 1:305 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-5204
Practice Address - Country:US
Practice Address - Phone:630-357-8166
Practice Address - Fax:630-357-3260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-14
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care