Chino Avenue Congregate Home INC
NPI #1477914679 in Chino, California
Provider Information
- NPI Number
- 1477914679
- Entity Type
- Organization
- Organization Name
- Chino Avenue Congregate Home INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 15, 2016
- Last Updated
- Oct 21, 2016
Practice Location
- Address
- 3408 CHINO AVE
- City
- Chino
- State
- California
- ZIP Code
- 91710-4714
- Phone
- (909) 270-3293
Authorized Official
- Name
- MR. STEVEN MARTINSON
- Title
- EXECUTIVE ASSISTANT
- Phone
- (714) 747-6546
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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