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Organization

MISSION INN SENIOR LIVING LLC

Active
Other names
THE GROVE ASSISTED LIVING
Organization subpart
No

Provider details

NPI number
Authorized official
LEE JOHNSON (TREASURER)
(208) 401-1369
Entity
Organization

Contact information

Practice address
3401 LEMON ST, RIVERSIDE, CA 92501-2861
(951) 686-8202
(951) 784-1508
Mailing address
3401 LEMON ST, RIVERSIDE, CA 92501-2861
(951) 686-8202

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
05/07/2019
Last updated
02/13/2020
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