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NPI 1922768431

OrganizationActive

Eagel Time Care Facility

NPI 1922768431 · Lodging Provider · Riverside, CA

Provider details

NPI number: 1922768431
Entity type: Organization
Primary specialty: Lodging ProviderOther Service Providers
Organization subpart: No
Authorized official: Juan Cornell, Administrator(562) 685-4610

Specialties & taxonomies

Lodging ProviderPrimary177F00000X
Other Service Providers

Practice location

1622 Palermo Dr

Riverside, CA 92507-2393

Phone: (562) 685-4610

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

1622 Palermo Dr

Riverside, CA 92507-2393

Registry dates

Enumerated: 2021-12-23
Last updated: 2022-09-22
Certified: 2022-09-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Eagel Time Care Facility — NPI 1922768431, Riverside, CA | NPI Central