Organization
RIVERSIDE LIFE SERVICES, INC
Active
Other names
Riverside Life Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MINAHAN DO (MEDICAL DIRECTOR)
(951) 340-1002
Entity
Organization
Contact information
Practice address
3727 MCCRAY ST, RIVERSIDE, CA 92506-2928
(951) 784-2422
(951) 276-2907
Mailing address
3727 MCCRAY ST, RIVERSIDE, CA 92506-2928
(951) 784-2422
(951) 276-2907
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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