# PRIME HEALTHCARE SERVICES - SAINT CLARE'S LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Dwelling Place at Saint Clare's
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124407903
- **Authorized official:** MICHAEL HEATHER (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (909) 235-4300

## Contact information

- **Practice address:** 400 W BLACKWELL ST, DOVER, NJ 07801-2525
- **Practice address phone:** (973) 989-3000
- **Mailing address:** 3300 E GUASTI RD, THIRD FLOOR, ONTARIO, CA 91761-8655
- **Mailing address phone:** (909) 235-4300
- **Mailing address fax:** (909) 235-4419

## Taxonomy

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

## Other

- **Enumeration date:** 05/26/2015
- **Last updated:** 05/26/2015