# CF SUSANVILLE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lassen Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124170519
- **Authorized official:** JACOB WINTNER (MANAGER)
- **Authorized official phone:** (323) 651-1808

## Contact information

- **Practice address:** 2005 RIVER STREET, SUSANVILLE, CA 96130
- **Practice address phone:** (530) 257-5341
- **Practice address fax:** (530) 257-8150
- **Mailing address:** 2005 RIVER STREET, SUSANVILLE, CA 96130
- **Mailing address phone:** (530) 257-5341
- **Mailing address fax:** (530) 257-8150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 230000058 | CA | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 02/09/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZR06231J | — | CA |