Broadwater Ontario Care Center, LLC
NPI #1316080260 in Ontario, California
Provider Information
- NPI Number
- 1316080260
- Entity Type
- Organization
- Organization Name
- Broadwater Ontario Care Center, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Feb 14, 2007
- Last Updated
- Jun 9, 2008
Practice Location
- Address
- 1661 S EUCLID AVE
- City
- Ontario
- State
- California
- ZIP Code
- 91762-5826
- Phone
- (909) 984-6713
Authorized Official
- Name
- DOUGLAS EASTON
- Title
- MANAGER
- Phone
- (818) 368-1862
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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