Organization
APPLE VALLEY CHRISTIAN CENTERS
Active
Other names
Apple Valley Christian Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES MACK (CEO)
(949) 208-3399
Entity
Organization
Contact information
Practice address
11959 APPLE VALLEY ROAD, APPLE VALLEY, CA 92308-7507
(760) 240-5051
(760) 240-8150
Mailing address
11959 APPLE VALLEY ROAD, APPLE VALLEY, CA 92308-7507
(760) 240-5051
(760) 240-8150
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
555476
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55476F
—
CA
Enumeration date
01/30/2006
Last updated
01/25/2012
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