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Organization
COMMUNITY CARE ON PALM RIVERSIDE, LLC
Active
Organization
COMMUNITY CARE ON PALM RIVERSIDE, LLC
Active
Other names
Community Care on Palm
Organization subpart
No
Provider details
NPI number
Authorized official
EZRA BERCOVICH (MANAGER)
(213) 948-0193
Entity
Organization
Contact information
Practice address
4768 PALM AVE, RIVERSIDE, CA 92501-4012
(951) 686-9001
(951) 367-0167
Mailing address
1515 N FAIR OAKS AVE, PASADENA, CA 91103-1808
(951) 686-9001
(951) 367-0167
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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