# CHANCELLOR HEALTH CARE OF CALIFORNIA I INC

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

## Provider details

- **NPI number:** 1265453914
- **Authorized official:** MR. CORBIN SWAFFORD (ADMINISTRATOR)
- **Authorized official phone:** (909) 796-0235

## Contact information

- **Practice address:** 25383 COLE ST, LOMA LINDA, CA 92354-3103
- **Practice address phone:** (909) 796-0235
- **Practice address fax:** (909) 796-4945
- **Mailing address:** 25383 COLE ST, LOMA LINDA, CA 92354-3103
- **Mailing address phone:** (909) 796-0235
- **Mailing address fax:** (909) 796-4945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 240000167 | CA | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 04/19/2012