# LONE TREE CONVALESCENT HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lone Tree Convalescent Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871661967
- **Authorized official:** MRS. PHYLENE SUNGA (ADMINISTRATOR)
- **Authorized official phone:** (925) 383-4810

## Contact information

- **Practice address:** 4001 LONE TREE WAY, ANTIOCH, CA 94509-6232
- **Practice address phone:** (925) 754-0470
- **Practice address fax:** (925) 754-9142
- **Mailing address:** 4001 LONE TREE WAY, ANTIOCH, CA 94509-6232
- **Mailing address phone:** (925) 754-0470
- **Mailing address fax:** (925) 754-9142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 140000199 | CA | Yes |

## Other

- **Enumeration date:** 11/30/2006
- **Last updated:** 11/01/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZR06021H | — | CA |