Provider First Line Business Practice Location Address:
FIFTH AND WESTERN CALIFORNIA REHABILITATION CENTER
Provider Second Line Business Practice Location Address:
DEPT OF CORRECTIONS STATE OF CALIFORNIA
Provider Business Practice Location Address City Name:
NORCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92860
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-737-2683
Provider Business Practice Location Address Fax Number:
951-273-2974
Provider Enumeration Date:
06/06/2007