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Organization

RIMROCK RESIDENTIAL CARE HOME INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ARNOLD P. MANSAT (PRESIDENT)
(909) 331-8039
Entity
Organization

Contact information

Practice address
20115 RIMROCK ROAD EAST, APPLE VALLEY, CA 92307
(760) 242-7340
(760) 242-7340
Mailing address
20115 RIMROCK ROAD EAST, APPLE VALLEY, CA 92307
(760) 242-7340
(760) 242-7340

Taxonomy

Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
366407908
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ABRIMAN1212
MEDI-CAL
CA
Enumeration date
06/03/2010
Last updated
06/03/2010
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