# RIVERSIDE HOME MEDICAL SUPPLY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** riverside medical supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306903448
- **Authorized official:** MR. ARTHUR CORRICA (PRESIDENT)
- **Authorized official phone:** (951) 683-0018

## Contact information

- **Practice address:** 2906 RUBIDOUX BLVD STE A, RIVERSIDE, CA 92509-2149
- **Practice address phone:** (951) 683-0018
- **Practice address fax:** (951) 788-6496
- **Mailing address:** 2906 RUBIDOUX BLVD STE A, RIVERSIDE, CA 92509-2149
- **Mailing address phone:** (951) 683-0018
- **Mailing address fax:** (951) 788-6496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 01/01/2007
- **Last updated:** 08/22/2020