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Organization
BRASWELL MEDICAL CONSULTANTS INC.
Active
Organization
BRASWELL MEDICAL CONSULTANTS INC.
Active
Other names
Sky Harbor Care Center, LP
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HAROLD BRASWELL NHA (PRESIDENT)
(909) 795-3821
Entity
Organization
Contact information
Practice address
57333 JOSHUA LANE, YUCCA VALLEY, CA 92284
(760) 365-4870
(760) 369-1407
Mailing address
57333 JOSHUA LANE, YUCCA VALLEY, CA 92284-4247
(760) 365-4870
(760) 369-1407
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
240000320
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55773F
—
CA
Enumeration date
02/01/2006
Last updated
01/09/2020
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