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Organization

WHITESIDE MANOR, INC.

Active
Parent organization
WHITESIDE MANOR, INC.
Other names
Wilshire House
Organization subpart
Yes

Provider details

NPI number
Legal business name
WHITESIDE MANOR, INC.
Authorized official
DORI DOTSON (ADMIN)
(951) 788-9515
Entity
Organization

Contact information

Practice address
2452 WILSHIRE ST, RIVERSIDE, CA 92501-2144
(951) 682-6631
Mailing address
2743 ORANGE ST, RIVERSIDE, CA 92501-2538

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
02/09/2017
Last updated
03/17/2018
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