Organization
PICO DE LORO, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIVIEN FABELLO RILLO (VICE-PRESIDENT)
(951) 675-7633
Entity
Organization
Contact information
Practice address
620 NORTH PERRIS BOULEVARD, PERRIS, CA 92571
(951) 943-8081
(951) 943-8044
Mailing address
16807 NANDINA AVENUE, RIVERSIDE, CA 92504-8703
(951) 675-7633
(951) 943-8044
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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