# MT RUBIDOUXIDENCE OPCO, LLC

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

## Provider details

- **NPI number:** 1497153878
- **Authorized official:** JOHN MITCHELL (SECRETARY)
- **Authorized official phone:** (385) 988-3319

## Contact information

- **Practice address:** 6401 33RD ST, RIVERSIDE, CA 92509-1404
- **Practice address phone:** (951) 681-2200
- **Practice address fax:** (951) 681-4402
- **Mailing address:** 262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 250000177 | CA | Yes |

## Other

- **Enumeration date:** 12/16/2014
- **Last updated:** 08/20/2024