Organization
RIVERSIDE CONVALESCENT HOSPITAL, INC
Active
Other names
Applewood Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY BANE (PRESIDENT)
(530) 897-5100
Entity
Organization
Contact information
Practice address
1090 RIO LN, SACRAMENTO, CA 95822-1706
(916) 446-2506
(916) 446-2029
Mailing address
1090 RIO LN, SACRAMENTO, CA 95822-1706
(916) 446-2506
(916) 446-2029
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100000082
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05296G
—
CA
Enumeration date
08/03/2005
Last updated
11/20/2013
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