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NPI Code Detail

MEDICARE: RIVER BEND HOLDINGS, LLC

MEDICARE: RIVER BEND HOLDINGS, LLC
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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1497228266
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIVER BEND HOLDINGS, LLC
Provider Business Mailing Address
First Line : 2215 OAKMONT WAY
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95691-3022
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2215 OAKMONT WAY
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95691-3022
Country : US
Telephone Number : 916-371-1890
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : RICHARD MARTIN
Credential :
Telephone Number : 916-422-4825
Provider Enumeration Date : 01/04/2019
Last Update Date : 01/04/2019

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