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Organization
ATASCADERO CHRISTIAN HOME
Active
Organization
ATASCADERO CHRISTIAN HOME
Active
Other names
Country Care Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN BUSBY (CEO)
(805) 466-0281
Entity
Organization
Contact information
Practice address
14900 EL CAMINO REAL, ATASCADERO, CA 93422-6417
(805) 466-0282
(805) 438-4405
Mailing address
14900 EL CAMINO REAL, ATASCADERO, CA 93422-6417
(805) 466-0282
(805) 438-4405
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
050000028
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400590475
—
CA
Enumeration date
05/08/2006
Last updated
08/27/2013
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