South Coast Health & Wellness Corp

NPI 1104851716 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1104851716
Enumeration Date 07/11/2006
Last Updated 10/23/2013
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name CHERYL CHERYL
Position PRESIDENT/OWNER
Phone (951) 686-9001
Fax (951) 686-0148
Practice Location
4768 PALM AVE
RIVERSIDE CA, 92501-4012, US
Phone (951) 686-9001
Fax (951) 686-0148
Business Location
4768 PALM AVE
RIVERSIDE CA, 92501-4012, US
Phone (951) 686-9001
Fax (951) 686-0148
Toxanomy
Taxonomy Code 314000000X
License State California
License Number 250000115
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According to our database, South Coast Health & Wellness Corp NPI is 1104851716, taxonomy code is 314000000X and license number is 250000115, license state is located at California. South Coast Health & Wellness Corp physically located at 4768 Palm Ave, Riverside CA, 92501-4012. NPI Number 1033115704 has the healthcare provider type.

1104851716 NPI number is provided on an as is basis without warranty of any kind. 1104851716 is maintained by the National Plan & Provider Enumeration System. The contents of South Coast Health & Wellness Corp are for informational purposes only.