Organization
KF BELLA VISTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB WINTNER (MANAGING MEMBER)
(323) 651-1808
Entity
Organization
Contact information
Practice address
933 E DEODAR ST, ONTARIO, CA 91764-1309
(909) 985-2731
Mailing address
933 E DEODAR ST, ONTARIO, CA 91764-1309
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/15/2011
Last updated
05/11/2016
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