Organization
MACADAMIA HOLDINGS, LLC
Active
Other names
Trellis Chino
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MITCHELL (SECRETARY)
(385) 988-3319
Entity
Organization
Contact information
Practice address
5454 WALNUT AVE, CHINO, CA 91710-2600
(909) 465-0246
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/14/2017
Last updated
08/20/2024
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