# CHINO AVENUE CONGREGATE HOME INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477914679
- **Authorized official:** MR. STEVEN MARTINSON (EXECUTIVE ASSISTANT)
- **Authorized official phone:** (714) 747-6546

## Contact information

- **Practice address:** 3408 CHINO AVE, CHINO, CA 91710-4714
- **Practice address phone:** (909) 270-3293
- **Practice address fax:** (909) 635-6476
- **Mailing address:** PO BOX 62, BREA, CA 92822-0062
- **Mailing address phone:** (714) 747-6546
- **Mailing address fax:** (909) 635-6476

## Taxonomy

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

## Other

- **Enumeration date:** 03/15/2016
- **Last updated:** 10/21/2016