Organization
RSCR CALIFORNIA, INC
Active
Other names
Grand Ave Home
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PATRICIA RODENBERG-ROBERTS (CHIEF REGULATORY OFFICER SR ASST GC)
(952) 836-2234
Entity
Organization
Contact information
Practice address
412 N GRAND AVE, GLENDORA, CA 91741-2413
(714) 537-3252
Mailing address
6600 FRANCE AVE S STE 350, EDINA, MN 55435-1810
(952) 836-2234
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC60926F
—
CA
Enumeration date
02/27/2007
Last updated
06/16/2026
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