Organization
RIVER FOUNTAINS OF LODI
Active
Parent organization
CIMINOCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CIMINOCARE
Authorized official
MR. MARK CIMINO (CEO)
(916) 704-6275
Entity
Organization
Contact information
Practice address
311 W TURNER RD, LODI, CA 95240-0517
(209) 334-3763
(209) 334-1173
Mailing address
7501 SUNRISE BLVD, CITRUS HEIGHTS, CA 95610-3059
(916) 486-9639
(916) 486-9675
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
397004012
CA
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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