Organization
RIVERSIDE EQUITIES LLC
Active
Other names
Mission Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE NELSON (AR MANAGER)
(714) 577-3880
Entity
Organization
Contact information
Practice address
8487 MAGNOLIA AVE, RIVERSIDE, CA 92504-3222
(951) 688-2222
(951) 688-7659
Mailing address
3050 SATURN ST, STE 201, BREA, CA 92821-6221
(714) 577-3880
(714) 577-3892
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
250000241
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891950267
—
CA
Enumeration date
07/24/2008
Last updated
07/14/2016
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