JUAN CORNELL

Assisted Living Facility

Active Individual
NPI: 1790265650

Practice Address

1622 PALERMO DR
Riverside, CA 92507

Phone: (562) 685-4610

Specialties

Specialty Code Primary License
Assisted Living Facility 310400000X Yes 336425651 (CA)

Frequently Asked Questions

NPI 1790265650 is the National Provider Identifier for JUAN CORNELL, a Assisted Living Facility provider located in Riverside, CA. This NPI was enumerated on August 20, 2018.
JUAN CORNELL practices at 1622 PALERMO DR, Riverside, CA 92507.

Quick Facts

NPI
1790265650
Type
Individual
Enumerated
Aug 20, 2018
Last Updated
Aug 20, 2018

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