Organization
RIVERSIDE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC JOHNSON (CFO)
(949) 373-8373
Entity
Organization
Contact information
Practice address
4301 CAROLINE CT, RIVERSIDE, CA 92506-2902
(951) 683-7111
Mailing address
25910 ACERO STE 350, MISSION VIEJO, CA 92691-7908
(949) 441-9258
(951) 683-6826
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05584G
—
CA
Enumeration date
12/22/2014
Last updated
04/05/2024
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