# 3067 ORANGE AVENUE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ANAHEIM CREST NURSING CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568457299
- **Authorized official:** CAROLINE L BOYER (DIRECTOR OF PATIENT ACCOUNTING)
- **Authorized official phone:** (818) 367-9546

## Contact information

- **Practice address:** 3067 W ORANGE AVE, ANAHEIM, CA 92804-3156
- **Practice address phone:** (714) 827-2440
- **Practice address fax:** (714) 827-2043
- **Mailing address:** 3067 W ORANGE AVE, ANAHEIM, CA 92804-3156
- **Mailing address phone:** (714) 827-2440
- **Mailing address fax:** (714) 827-2043

## Taxonomy

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

## Other

- **Enumeration date:** 09/19/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55445H | — | CA |