Organization
RIVERA SANATARIUM INC
Active
Other names
Colonial Gardens Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
KENT STEPHENS (ADMINISTRATOR)
(562) 949-2591
Entity
Organization
Contact information
Practice address
7246 ROSEMEAD BLVD, PICO RIVERA, CA 90660-4010
(562) 949-2591
Mailing address
7246 ROSEMEAD BLVD, PICO RIVERA, CA 90660-4010
(562) 949-2591
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
940000042
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT18068G
—
CA
Enumeration date
10/11/2006
Last updated
10/08/2014
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