Organization
RIVERSIDE CONGREGATIONAL HOMES
Active
Other names
PLYMOUTH TOWER
Organization subpart
No
Provider details
NPI number
Authorized official
STUART HARTMAN (V.P. OF OPERATIONS)
(562) 257-5100
Entity
Organization
Contact information
Practice address
3401 LEMON ST, RIVERSIDE, CA 92501-2817
(951) 686-8202
(951) 784-1508
Mailing address
3401 LEMON ST, RIVERSIDE, CA 92501-2817
(951) 686-8202
(951) 784-1508
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT18656F
—
CA
Enumeration date
06/14/2005
Last updated
08/22/2020
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