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Juan Cornell
Assisted Living Facility in Riverside, California
NPI 1790265650

Juan Cornell is an Assisted Living Facility based in Riverside, CA. Juan Cornell practices in Riverside, CA. The NPI Number for Juan Cornell is 1790265650 and holds a License No. 336425651 (California).

The current practice location address for Juan Cornell is 1622 Palermo Dr, Riverside, CA and can be reached out via phone at 562-685-4610 and via fax at 951-213-6898.

Location: 1622 Palermo Dr, Riverside, CA, 92507-2393
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790265650
Provider Name
Juan Cornell
Credential
Provider Entity Type
Individual
Gender
Male
Address
1622 Palermo Dr, Riverside, CA, 92507-2393
Phone Number
562-685-4610
Fax Number
951-213-6898
Provider Enumeration Date
08/20/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1622 Palermo Dr
City
Riverside
State
California
Zip
92507-2393
Phone Number
562-685-4610
Fax Number
951-213-6898
person
Provider Business Mailing Address Details
Address
1622 Palermo Dr
City
Riverside
State
California
Zip
92507-2393
Phone Number
562-685-4610
Fax Number
951-213-6898
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
336425651 (California)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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