Organization
RIVIERA NURSING & CONVALESCENT HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOV JACOBS (ADMINISTRATOR)
(562) 806-2576
Entity
Organization
Contact information
Practice address
8203 TELEGRAPH RD, PICO RIVERA, CA 90660-4905
(562) 806-2576
(562) 806-1496
Mailing address
8203 TELEGRAPH RD, PICO RIVERA, CA 90660-4905
(562) 806-2576
(562) 806-1496
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
940000144
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05045F
—
CA
Enumeration date
12/14/2005
Last updated
10/14/2013
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