Organization
PINE MOUNTAIN NURSING HEALTH CENTER
Active
Other names
PINE MOUNTAIN HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON POWELL NP (CEO)
(661) 242-7220
Entity
Organization
Contact information
Practice address
16233 ASKIN DR, SUITE A, FRAZIER PARK, CA 93222-6536
(661) 242-7220
Mailing address
16233 ASKIN DRIVE, SUITE A, PINE MOUNTAIN CLUB, CA 93222-6536
(661) 242-7220
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
NP14217
CA
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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