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Organization
RIVERSIDE VILLA
Active
Organization
RIVERSIDE VILLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARMEN KHRLOBYAN (CEO)
(951) 687-1617
Entity
Organization
Contact information
Practice address
3495 JEFFERSON ST, RIVERSIDE, CA 92504-3519
(951) 687-1617
(951) 848-9232
Mailing address
3495 JEFFERSON ST, RIVERSIDE, CA 92504-3519
(951) 687-1617
(951) 848-9232
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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