Provider Demographics
NPI:1457782773
Name:RIVERSIDE COUNTY OFFICE ON AGING
Entity Type:Organization
Organization Name:RIVERSIDE COUNTY OFFICE ON AGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-867-3800
Mailing Address - Street 1:6296 RIVER CREST DR STE K
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-0738
Mailing Address - Country:US
Mailing Address - Phone:951-867-3800
Mailing Address - Fax:951-867-3840
Practice Address - Street 1:6296 RIVER CREST DR STE K
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-0738
Practice Address - Country:US
Practice Address - Phone:951-867-3800
Practice Address - Fax:951-867-3840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-12
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management