Organization
TRINITY OAKLAND, INC
Active
Other names
Mission Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL KLEIS (PRESIDENT)
(425) 820-9750
Entity
Organization
Contact information
Practice address
8487 MAGNOLIA AVE, RIVERSIDE, CA 92504-3222
(951) 688-2222
(951) 688-7659
Mailing address
8487 MAGNOLIA AVE, RIVERSIDE, CA 92504-3222
(951) 688-2222
(951) 688-7659
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC70159F
—
CA
Enumeration date
10/25/2006
Last updated
08/21/2007
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