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Organization
CF SUSANVILLE, LLC
Active
Organization
CF SUSANVILLE, LLC
Active
Other names
Lassen Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB WINTNER (MANAGER)
(323) 651-1808
Entity
Organization
Contact information
Practice address
2005 RIVER STREET, SUSANVILLE, CA 96130
(530) 257-5341
(530) 257-8150
Mailing address
2005 RIVER STREET, SUSANVILLE, CA 96130
(530) 257-5341
(530) 257-8150
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
230000058
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR06231J
—
CA
Enumeration date
01/17/2007
Last updated
02/09/2015
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