Organization
AG RANCHO MIRAGE, LLC
Active
Other names
Rancho Mirage Health & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB WINTNER (MANAGER)
(323) 651-1808
Entity
Organization
Contact information
Practice address
39950 VISTA DEL SOL, RANCHO MIRAGE, CA 92270
(760) 340-0053
(760) 341-6523
Mailing address
39950 VISTA DEL SOL, RANCHO MIRAGE, CA 92270
(760) 340-0053
(310) 574-1322
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
250000245
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55247G
—
CA
Enumeration date
09/09/2005
Last updated
07/21/2014
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