Organization
RIVERSIDE SNF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MARTIN (OWNER)
(916) 422-4825
Entity
Organization
Contact information
Practice address
17040 ARNOLD DR, RIVERSIDE, CA 92518-2813
(951) 697-2100
Mailing address
7400 24TH ST, SACRAMENTO, CA 95822-5350
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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