Healthcare Provider Details

I. General information

NPI: 1386965424
Provider Name (Legal Business Name): SENIOR FOCUS RESIDENTIAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2010
Last Update Date: 06/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

871 VIA MINDI
RIVERSIDE CA
92506-3642
US

IV. Provider business mailing address

871 VIA MINDI
RIVERSIDE CA
92506-3642
US

V. Phone/Fax

Practice location:
  • Phone: 951-684-2511
  • Fax: 951-784-3742
Mailing address:
  • Phone: 951-684-2511
  • Fax: 951-784-3742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: MRS. MARGARET ELIZABETH LAMAR
Title or Position: C.F.O./SEC. ADMINISTRATOR
Credential: RN, BSN
Phone: 951-684-1400