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Organization
DAILY LIVING SUPPORT RIVERSIDE LLC
Active
Organization
DAILY LIVING SUPPORT RIVERSIDE LLC
Active
Other names
Home Instead
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SOUTHARD (PRESIDENT)
(562) 322-0432
Entity
Organization
Contact information
Practice address
6751 BROCKTON AVE, RIVERSIDE, CA 92506-3023
(951) 369-7047
Mailing address
6751 BROCKTON AVE, RIVERSIDE, CA 92506-3023
(513) 697-0479
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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