# UPLAND CONVALESCENT HOSPITAL INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UPLAND REHABILITATION & CARE CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750376554
- **Authorized official:** JAMES WILLIAM MILTON (PRESIDENT)
- **Authorized official phone:** (909) 985-1903

## Contact information

- **Practice address:** 1221 E ARROW HWY, UPLAND, CA 91786-4911
- **Practice address phone:** (909) 985-1903
- **Practice address fax:** (909) 985-4975
- **Mailing address:** 1221 E ARROW HWY, UPLAND, CA 91786-4911
- **Mailing address phone:** (909) 985-1903
- **Mailing address fax:** (909) 985-4975

## Taxonomy

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

## Other

- **Enumeration date:** 09/18/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT05374H | — | CA |