Organization
BEN BENNETT INC
Active
Other names
Community Care and Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE W BENNETT (PRESIDENT)
(951) 680-6500
Entity
Organization
Contact information
Practice address
4070 JURUPA AVE, RIVERSIDE, CA 92506-2234
(951) 680-6500
(951) 680-6504
Mailing address
4070 JURUPA AVE, RIVERSIDE, CA 92506-2234
(951) 680-6500
(951) 680-6504
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05409G
—
CA
Enumeration date
11/17/2005
Last updated
08/22/2020
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