# BRASWELLS COLONIAL CARE OF REDLANDS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Braswell's Colonial Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780671172
- **Authorized official:** MR. JAMES H. BRASWELL (PRESIDENT)
- **Authorized official phone:** (909) 795-3821

## Contact information

- **Practice address:** 1618 LAUREL AVE, REDLANDS, CA 92373-4838
- **Practice address phone:** (909) 792-6050
- **Practice address fax:** (909) 798-8341
- **Mailing address:** 1618 LAUREL AVE, REDLANDS, CA 92373-4838
- **Mailing address phone:** (909) 792-6050
- **Mailing address fax:** (909) 798-8341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 240000307 | CA | — |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 09/30/2005
- **Last updated:** 02/28/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55350F | — | CA |