Provider Demographics
NPI:1568178739
Name:REINHOFER, ANNELIESE (OTD)
Entity Type:Individual
Prefix:
First Name:ANNELIESE
Middle Name:
Last Name:REINHOFER
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32437 JARDIN CT
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:CA
Mailing Address - Zip Code:92596-9035
Mailing Address - Country:US
Mailing Address - Phone:951-852-4879
Mailing Address - Fax:
Practice Address - Street 1:24100 MONROE AVE
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-9507
Practice Address - Country:US
Practice Address - Phone:951-600-4640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility