Chancellor Health Care of Ca
NPI #1811982929 in Loma Linda, California
Provider Information
- NPI Number
- 1811982929
- Entity Type
- Organization
- Organization Name
- Chancellor Health Care of Ca
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Sep 14, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 25383 COLE ST
- City
- Loma Linda
- State
- California
- ZIP Code
- 92354-3103
- Phone
- (909) 796-0235
Authorized Official
- Name
- MR. DAVID LUTHER GREEN, NHA
- Title
- ADMINISTRATOR
- Phone
- (909) 796-0235
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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