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Organization
COUNTRY CREST, LLC
Active
Organization
COUNTRY CREST, LLC
Active
Other names
Country Crest Post Acute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN O'HARA (CFO)
(888) 309-0022
Entity
Organization
Contact information
Practice address
50 CONCORDIA LANE, OROVILLE, CA 95966
(530) 533-7857
(530) 533-7887
Mailing address
530 N. PUENTE STREET, BREA, CA 92821
(530) 533-7857
(530) 533-7887
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
230000351
CA
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
05/14/2012
Last updated
03/10/2014
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