Fillmore Country Club
NPI #1336588557 in Fillmore, California
Provider Information
- NPI Number
- 1336588557
- Entity Type
- Organization
- Organization Name
- Fillmore Country Club
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jun 20, 2013
- Last Updated
- Jun 20, 2013
Practice Location
- Address
- 827 RIVER ST
- City
- Fillmore
- State
- California
- ZIP Code
- 93015-1818
- Phone
- (805) 524-7979
Authorized Official
- Name
- JENQ H CHEN
- Title
- CHAIRMAN/PRESIDENT
- Phone
- (310) 889-9929
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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