Organization
SHIMAREE FOSTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIMAREE FOSTER (RN/TREAMENT NURSE/SUPERVISOR)
(951) 689-2340
Entity
Organization
Contact information
Practice address
3766 NYE AVE, RIVERSIDE, CA 92505-1867
(951) 689-2340
Mailing address
PO BOX 494, RIVERSIDE, CA 92502-0494
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
VN231776
CA
Other
Enumeration date
11/04/2010
Last updated
10/23/2011
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