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Organization
RIVERSIDE CONVALESCENT HOSPITAL, INC
Active
Organization
RIVERSIDE CONVALESCENT HOSPITAL, INC
Active
Other names
Applewood Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY BANE (PRESIDENT)
(530) 897-5100
Entity
Organization
Contact information
Practice address
1090 RIO LN, SACRAMENTO, CA 95822-1706
(916) 446-2506
(916) 446-2029
Mailing address
1090 RIO LN, SACRAMENTO, CA 95822-1706
(916) 446-2506
(916) 446-2029
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100000082
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05296G
—
CA
Enumeration date
08/03/2005
Last updated
11/20/2013
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