Organization
INTERIM HEALTHCARE OF RIVERSIDE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SLUPECKI (CFO)
(954) 858-2753
Entity
Organization
Contact information
Practice address
7000 INDIANA AVE, SUITE 107, RIVERSIDE, CA 92506-4154
(951) 684-6111
(951) 781-9947
Mailing address
1601 SAWGRASS CORPORATE PKWY, SUNRISE, FL 33323-2827
(954) 858-2871
(954) 858-2710
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
240000032
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA70293G
—
CA
Enumeration date
06/11/2006
Last updated
11/13/2008
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