Organization
RBI INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERTO CARLOS BOLANOS (LICENSEE & ADMINISTRATOR)
(714) 662-0546
Entity
Organization
Contact information
Practice address
1047 CHEYENNE ST, COSTA MESA, CA 92626-2860
(714) 662-0546
(714) 617-5121
Mailing address
1047 CHEYENNE ST, COSTA MESA, CA 92626-2860
(714) 662-0546
(714) 617-5121
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
306003586
CA
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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