Organization
ORANGE TREEIDENCE OPCO, LLC
Active
Other names
Riverwalk Post Acute
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MITCHELL (SECRETARY)
(385) 988-3319
Entity
Organization
Contact information
Practice address
4000 HARRISON ST, RIVERSIDE, CA 92503-3514
(951) 785-6060
(951) 785-6710
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689072977
—
CA
Enumeration date
12/18/2014
Last updated
08/20/2024
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