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Organization
RIVERSIDE LIFE SERVICES, INC
Active
Organization
RIVERSIDE LIFE SERVICES, INC
Active
Other names
Riverside Life Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MINAHAN DO (MEDICAL DIRECTOR)
(951) 340-1002
Entity
Organization
Contact information
Practice address
3727 MCCRAY ST, RIVERSIDE, CA 92506-2928
(951) 784-2422
(951) 276-2907
Mailing address
3727 MCCRAY ST, RIVERSIDE, CA 92506-2928
(951) 784-2422
(951) 276-2907
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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