# APPLE VALLEY CHRISTIAN CENTERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Apple Valley Christian Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215908090
- **Authorized official:** MR. CHARLES MACK (CEO)
- **Authorized official phone:** (949) 208-3399

## Contact information

- **Practice address:** 11959 APPLE VALLEY ROAD, APPLE VALLEY, CA 92308-7507
- **Practice address phone:** (760) 240-5051
- **Practice address fax:** (760) 240-8150
- **Mailing address:** 11959 APPLE VALLEY ROAD, APPLE VALLEY, CA 92308-7507
- **Mailing address phone:** (760) 240-5051
- **Mailing address fax:** (760) 240-8150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 555476 | CA | Yes |

## Other

- **Enumeration date:** 01/30/2006
- **Last updated:** 01/25/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55476F | — | CA |