# RIVERSIDE SNF, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336700772
- **Authorized official:** RICHARD MARTIN (OWNER)
- **Authorized official phone:** (916) 422-4825

## Contact information

- **Practice address:** 17040 ARNOLD DR, RIVERSIDE, CA 92518-2813
- **Practice address phone:** (951) 697-2100
- **Mailing address:** 7400 24TH ST, SACRAMENTO, CA 95822-5350

## Taxonomy

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

## Other

- **Enumeration date:** 06/26/2019
- **Last updated:** 06/26/2019