Organization
RIVERSIDE ELITE ADVANTAGE CARE HOME LLC
Active
Organization
RIVERSIDE ELITE ADVANTAGE CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE TENG (NURSING ADMINISTRATOR MANAGER)
(951) 850-1088
Entity
Organization
Contact information
Practice address
17085 BIRCH HILL RD, RIVERSIDE, CA 92504-8823
(951) 398-7680
Mailing address
31491 SHADOW RIDGE DR, MENIFEE, CA 92584-8213
(951) 850-1088
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
376G00000X
Nursing Home Administrator
—
—
Other
Enumeration date
08/05/2019
Last updated
11/23/2021
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