Organization
RSCR CALIFORNIA, INC.
Active
Other names
ARGR PERIERA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY WHOBREY (PROVIDER ENROLLMENT)
(502) 630-7249
Entity
Organization
Contact information
Practice address
879 MEINECKE AVE, SAN LUIS OBISPO, CA 93405-1732
(714) 537-3252
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC60930F
—
CA
Enumeration date
02/28/2007
Last updated
10/07/2020
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