Healthcare Provider Details

I. General information

NPI: 1295332047
Provider Name (Legal Business Name): RVMUR OPERATIONS COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2020
Last Update Date: 10/05/2020
Certification Date: 10/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24271 JACKSON AVE
MURRIETA CA
92562-1993
US

IV. Provider business mailing address

24271 JACKSON AVE
MURRIETA CA
92562-1993
US

V. Phone/Fax

Practice location:
  • Phone: 951-319-8243
  • Fax:
Mailing address:
  • Phone: 951-319-8243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State

VIII. Authorized Official

Name: BRIAN TAUBE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 951-319-8243