Organization
CALIFORNIAN MAGNOLIA CONVALESCENT HOSPITAL INC.
Active
Other names
Magnolia Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT EDGSON (CONTOLLER)
(951) 688-4321
Entity
Organization
Contact information
Practice address
8133 MAGNOLIA AVE, RIVERSIDE, CA 92504-3498
(951) 688-4321
(951) 688-0258
Mailing address
8133 MAGNOLIA AVE, RIVERSIDE, CA 92504-3498
(951) 688-4321
(951) 688-0258
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HPC01641F
—
CA
Enumeration date
08/11/2006
Last updated
08/22/2020
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