Organization
HILLCREST NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHONA B BAUTISTA (BUSINESS OFFICE MANAGER)
(909) 373-3766
Entity
Organization
Contact information
Practice address
4280 CYPRESS DR, SAN BERNARDINO, CA 92401
(909) 882-3966
(909) 886-2895
Mailing address
4280 CYPRESS DR, SAN BERNARDINO, CA 92401
(909) 882-3966
(909) 886-2895
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT18156K
—
CA
Enumeration date
11/02/2006
Last updated
08/22/2020
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