Cobble Creek Congregate Living LLC
NPI #1639992266 in Eastvale, California
Provider Information
- NPI Number
- 1639992266
- Entity Type
- Organization
- Organization Name
- Cobble Creek Congregate Living LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 4, 2024
- Last Updated
- Nov 4, 2024
Practice Location
- Address
- 7462 COBBLE CREEK DR
- City
- Eastvale
- State
- California
- ZIP Code
- 92880-3183
- Phone
- (949) 922-7713
Authorized Official
- Name
- MARC TANG, ADMINISTRATOR
- Title
- CEO
- Phone
- (949) 235-6269
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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| Hamner Congregate Care | |
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