Organization
VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELIA V VARA CNA (NURSE ASSITANT)
(951) 785-7670
Entity
Organization
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
6579 HILLSIDE AVE, RIVERSIDE, CA 92504-1678
(951) 785-7670
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
00438821
CA
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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