Healthcare Provider Details

I. General information

NPI: 1144169871
Provider Name (Legal Business Name): CORELINK COMMUNITY SUPPORTS AS DBA FOR ROSE FARGO RECORDING SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10311 HEDRICK AVE
RIVERSIDE CA
92505-1429
US

IV. Provider business mailing address

10311 HEDRICK AVE
RIVERSIDE CA
92505-1429
US

V. Phone/Fax

Practice location:
  • Phone: 951-363-9708
  • Fax:
Mailing address:
  • Phone: 951-363-9708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS ROSA ISELA GONZALEZ
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 951-363-9708