Healthcare Provider Details

I. General information

NPI: 1194878785
Provider Name (Legal Business Name): INLAND AIDS PROJECT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3756 ELIZABETH ST
RIVERSIDE CA
92506-2507
US

IV. Provider business mailing address

3756 ELIZABETH ST
RIVERSIDE CA
92506-2507
US

V. Phone/Fax

Practice location:
  • Phone: 951-346-1910
  • Fax: 951-369-6514
Mailing address:
  • Phone: 951-346-1910
  • Fax: 951-369-6514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BELINDA MOORINGS
Title or Position: VP OF FINANCE
Credential:
Phone: 951-346-1910