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Organization
APPLE VALLEY CHRISTIAN CENTERS
Active
Organization
APPLE VALLEY CHRISTIAN CENTERS
Active
Other names
Apple Valley Christian Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES MACK (CEO)
(949) 208-3399
Entity
Organization
Contact information
Practice address
11959 APPLE VALLEY ROAD, APPLE VALLEY, CA 92308-7507
(760) 240-5051
(760) 240-8150
Mailing address
11959 APPLE VALLEY ROAD, APPLE VALLEY, CA 92308-7507
(760) 240-5051
(760) 240-8150
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
555476
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55476F
—
CA
Enumeration date
01/30/2006
Last updated
01/25/2012
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