Organization
COMMUNITY CARE ON PALM RIVERSIDE, LLC
Active
Other names
Community Care on Palm
Organization subpart
No
Provider details
NPI number
Authorized official
EZRA BERCOVICH (MANAGER)
(213) 948-0193
Entity
Organization
Contact information
Practice address
4768 PALM AVE, RIVERSIDE, CA 92501-4012
(951) 686-9001
(951) 367-0167
Mailing address
1515 N FAIR OAKS AVE, PASADENA, CA 91103-1808
(951) 686-9001
(951) 367-0167
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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