Organization
CF SUSANVILLE, LLC
Active
Other names
Lassen Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB WINTNER (MANAGER)
(323) 651-1808
Entity
Organization
Contact information
Practice address
2005 RIVER STREET, SUSANVILLE, CA 96130
(530) 257-5341
(530) 257-8150
Mailing address
2005 RIVER STREET, SUSANVILLE, CA 96130
(530) 257-5341
(530) 257-8150
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
230000058
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR06231J
—
CA
Enumeration date
01/17/2007
Last updated
02/09/2015
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