MEDICARE: INTEGRATED NURSING AND REHAB CARE OF PERRIS, 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	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1023207610
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED NURSING AND REHAB CARE OF PERRIS, INC

Provider Business Mailing Address
First Line	:	2225 N PERRIS BLVD
Second Line	:
City	:	PERRIS
State	:	CA
Zip	:	92571-2580
Country	:	US
Telephone Number	:	626-736-6373
Fax Number	:	626-332-8835

Provider Business Practice Location Address
First Line	:	2225 N PERRIS BLVD
Second Line	:
City	:	PERRIS
State	:	CA
Zip	:	92571-2580
Country	:	US
Telephone Number	:	626-736-6373
Fax Number	:	626-332-8835

Authorized Official
Title or Position	:	IT CONSULTANT
Name	:	MR. DILIP NIRANJANA
Credential	:
Telephone Number	:	626-736-6373

Provider Enumeration Date	:	10/18/2007
Last Update Date	:	12/10/2008

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