Organization
CALIFORNIAN MAGNOLIA CONVALESCENT
Active
Other names
Magnolia Rehabilitation and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY SUE RICHARDS LIC NURSING HOME ADM (ADMINSTRATOR)
(951) 688-4321
Entity
Organization
Contact information
Practice address
8133 MAGNOLIA AVE, RIVERSIDE, CA 92504-3409
(951) 688-4321
(951) 352-2768
Mailing address
8133 MAGNOLIA AVE, RIVERSIDE, CA 92504-3409
(951) 688-4321
(951) 352-2768
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
250000170
CA
315D00000X
Inpatient Hospice
250000170
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05474F
—
CA
Enumeration date
12/06/2005
Last updated
08/01/2013
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