WHITESIDE MANOR INC. NPI 1376081323

NPI Information

  • NPI: 1376081323
  • Provider Name: WHITESIDE MANOR, INC.
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Other Name: WILSHIRE HOUSE
  • Address: 2452 WILSHIRE ST
    RIVERSIDE, CA
    ZIP 92501
  • Phone: (951) 682-6631

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NPI Details

WHITESIDE MANOR, INC. is a substance abuse rehabilitation facility in Riverside, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. WHITESIDE MANOR, INC. NPI is 1376081323. The provider is registered as an organization entity type.
The provider Other Name Is Wilshire House.

The provider's business location address is:

2452 WILSHIRE ST
RIVERSIDE, CA
ZIP 92501-144
Phone: (951) 682-6631

The provider's authorized official is Dori Dotson .
The authorized official title is Admin and has the following contact phone number (951) 788-9515.

The enumeration date for this NPI number is 2/9/2017 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

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This page was last updated on: 11/21/2025

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