# QUEEN RIVER HOLDINGS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Riverbank Post-Acute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124723382
- **Authorized official:** TOBY TILFORD (MANAGER)
- **Authorized official phone:** (858) 798-5700

## Contact information

- **Practice address:** 2649 TOPEKA ST, RIVERBANK, CA 95367-2248
- **Practice address phone:** (209) 869-2568
- **Mailing address:** 16544 FRANZEN FARM RD, SAN DIEGO, CA 92127-2240
- **Mailing address phone:** (858) 798-5700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2023
- **Last updated:** 04/04/2023