Organization
CONGREGATIONAL CHURCH RETIREMENT COMMUNITY
Active
Other names
AUBURN RAVINE TERRACE
Organization subpart
No
Provider details
NPI number
Authorized official
PETER PEABODY (V.P. HEALTHCARE OPERATIONS)
(562) 257-5107
Entity
Organization
Contact information
Practice address
750 AUBURN RAVINE RD, AUBURN, CA 95603-3820
(530) 823-6131
(530) 823-9510
Mailing address
750 AUBURN RAVINE RD, AUBURN, CA 95603-3820
(530) 823-6131
(530) 823-9510
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030000172
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC90009F
—
CA
Enumeration date
06/14/2005
Last updated
02/03/2009
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