# CORONA CARE CONVALESCENT CORPORATION

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

## Provider details

- **NPI number:** 1760663454
- **Authorized official:** MR. RENATO HILARIO FERRER (PRESIDENT)
- **Authorized official phone:** (626) 394-6403

## Contact information

- **Practice address:** 1400 EAST CIRCLE CITY DRIVE, CORONA, CA 92879-1642
- **Practice address phone:** (951) 735-0252
- **Practice address fax:** (951) 735-0751
- **Mailing address:** 1400 EAST CIRCLE CITY DRIVE, CORONA, CA 92879-1642
- **Mailing address phone:** (951) 735-0252
- **Mailing address fax:** (951) 735-0751

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 250000133 | CA | Yes |

## Other

- **Enumeration date:** 11/21/2007
- **Last updated:** 04/04/2014