Organization
RIVERSIDE GUEST HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY DHAHBI (LICENSEE)
(951) 789-4143
Entity
Organization
Contact information
Practice address
18321 WOOD RD, PERRIS, CA 92570-7644
(951) 789-4143
Mailing address
18321 WOOD RD, PERRIS, CA 92570-7644
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
336402244
CA
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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