Organization
RIVERBANK REHABILITATION CENTER
Active
Other names
Central Valley Post Acute
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY JEAN THOMPSON (VP FINANCE)
(209) 248-7851
Entity
Organization
Contact information
Practice address
2649 TOPEKA ST, RIVERBANK, CA 95367
(209) 869-2568
Mailing address
2649 TOPEKA ST, RIVERBANK, CA 95367-2248
(209) 869-2568
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
030000081
CA
314000000X
Skilled Nursing Facility
Primary
030000081
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7648023
—
CA
05
—
8204741
—
CA
Enumeration date
04/28/2017
Last updated
01/28/2020
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