Organization
MT RUBIDOUXIDENCE OPCO, LLC
Active
Other names
Jurupa Hills Post Acute
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MITCHELL (SECRETARY)
(385) 988-3319
Entity
Organization
Contact information
Practice address
6401 33RD ST, RIVERSIDE, CA 92509-1404
(951) 681-2200
(951) 681-4402
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
250000177
CA
Other
Enumeration date
12/16/2014
Last updated
08/20/2024
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