Organization
COUNTRY CREST, LLC
Active
Other names
Country Crest Post Acute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN O'HARA (CFO)
(888) 309-0022
Entity
Organization
Contact information
Practice address
50 CONCORDIA LANE, OROVILLE, CA 95966
(530) 533-7857
(530) 533-7887
Mailing address
530 N. PUENTE STREET, BREA, CA 92821
(530) 533-7857
(530) 533-7887
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
230000351
CA
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
05/14/2012
Last updated
03/10/2014
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