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Organization
RIVERBANK REHABILITATION CENTER
Active
Organization
RIVERBANK REHABILITATION CENTER
Active
Other names
Central Valley Post Acute
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY JEAN THOMPSON (VP FINANCE)
(209) 248-7851
Entity
Organization
Contact information
Practice address
2649 TOPEKA ST, RIVERBANK, CA 95367
(209) 869-2568
Mailing address
2649 TOPEKA ST, RIVERBANK, CA 95367-2248
(209) 869-2568
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
030000081
CA
314000000X
Skilled Nursing Facility
Primary
030000081
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7648023
—
CA
05
—
8204741
—
CA
Enumeration date
04/28/2017
Last updated
01/28/2020
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