Riverside Nursing - Centralia LLC
NPI #1952475485 in Centralia, Washington
Provider Information
- NPI Number
- 1952475485
- Entity Type
- Organization
- Organization Name
- Riverside Nursing - Centralia LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 17, 2006
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1305 ALEXANDER ST
- City
- Centralia
- State
- Washington
- ZIP Code
- 98531-1305
- Phone
- (360) 736-2823
Authorized Official
- Name
- MR. DOV E JACOBS
- Title
- MANAGER
- Phone
- (323) 678-4426
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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