Organization
A GOOD SAMARITAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALOTE TUPOU (OWNER)
(951) 742-5188
Entity
Organization
Contact information
Practice address
3839 STRONG ST, RIVERSIDE, CA 92501-1843
(951) 742-5188
Mailing address
3839 STRONG ST, RIVERSIDE, CA 92501-1843
(951) 742-5188
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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