Braswells Ivy Retreat Ltd
NPI #1750352191 in Mentone, California
Provider Information
- NPI Number
- 1750352191
- Entity Type
- Organization
- Organization Name
- Braswells Ivy Retreat Ltd
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Feb 1, 2006
- Last Updated
- Jun 30, 2008
Practice Location
- Address
- 2278 NICE AVE
- City
- Mentone
- State
- California
- ZIP Code
- 92359-9655
- Phone
- (909) 794-1189
Authorized Official
- Name
- MS. VALERIE CANDELARIA
- Title
- DIRECTOR OF AR
- Phone
- (909) 446-8754
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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