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Organization
LONE TREE CONVALESCENT HOSPITAL, INC.
Active
Organization
LONE TREE CONVALESCENT HOSPITAL, INC.
Active
Other names
Lone Tree Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLENE SUNGA (ADMINISTRATOR)
(925) 383-4810
Entity
Organization
Contact information
Practice address
4001 LONE TREE WAY, ANTIOCH, CA 94509-6232
(925) 754-0470
(925) 754-9142
Mailing address
4001 LONE TREE WAY, ANTIOCH, CA 94509-6232
(925) 754-0470
(925) 754-9142
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
140000199
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR06021H
—
CA
Enumeration date
11/30/2006
Last updated
11/01/2016
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