Organization
MATTHEW 2540 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN LAWRENCE ANDERSON II (CHIEF EXECUITIVE OFFICER)
(951) 235-6507
Entity
Organization
Contact information
Practice address
5975 GRAND AVE, RIVERSIDE, CA 92504-1369
(951) 216-3326
Mailing address
20122 DAYTON ST, RIVERSIDE, CA 92508-6301
(951) 235-6507
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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