Whiteside Manor, Inc

NPI 1053724229 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1053724229
Enumeration Date 06/05/2014
Last Updated 06/06/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name RON RON
Position EXECUTIVE DIRECTOR
Phone (951) 788-9515
Fax (951) 686-2303
Practice Location
8605 JANET STREET
RIVERSIDE CA, 92501, US
Phone (951) 788-9515
Fax (951) 686-2303
Business Location
8605 JANET STREET
RIVERSIDE CA, 92503, US
Phone (951) 343-9485
Fax (951) 343-9487
Toxanomy
Taxonomy Code 324500000X
License State California
License Number 330004ON
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According to our database, Whiteside Manor, Inc NPI is 1053724229, taxonomy code is 324500000X and license number is 330004ON, license state is located at California. Whiteside Manor, Inc physically located at 8605 Janet Street, Riverside CA, 92501. NPI Number 1033115704 has the healthcare provider type.

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1053724229 NPI number is provided on an as is basis without warranty of any kind. 1053724229 is maintained by the National Plan & Provider Enumeration System. The contents of Whiteside Manor, Inc are for informational purposes only.