MEDICARE: ROBERTS&ASSOCIATES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	BL00116352	CA

General Provider Information

NPI Number	:	1184065237
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERTS&ASSOCIATES, INC

Provider Business Mailing Address
First Line	:	8175 LIMONITE AVENUE, A2&A3
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92509
Country	:	US
Telephone Number	:	951-727-4357
Fax Number	:

Provider Business Practice Location Address
First Line	:	8175 LIMONITE AVE # A2&A3
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92509-6120
Country	:	US
Telephone Number	:	951-727-4357
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOAN ELIZABETH ROBERTS
Credential	:	PH.D.
Telephone Number	:	951-727-4357

Provider Enumeration Date	:	07/17/2013
Last Update Date	:	07/17/2013

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